Calcanceal traction and surgical treatment before operation of Pilon fractures

Objective: To investigate the importance of calcanceal traction before operation of Pilon fracture and its indications.Methods: Thirty-two cases(34 limbs) of Pilon fracture were treated.According to Rüedi-Allgower classification,6 cases were classified as typeⅠ,21 cases typeⅡ,and 5 cases typeⅢ.Six cases were treated with anipalative reduction and external fixation by cast,4 cases with calcanceal traction and spliats fixation,17 cases with anatominal plate of distal tibia and 5 cases with limited open reduction and internal screw fixation combined with unilateral external fixation.Two cases received auto-ilium transplant and 3 cases artificial bone transplant.Results: All the cases were followed up for 4 months to 3.5 years.The results were excellent in 23 cases,good in 5 and poor in 4.Conclusions: proper measures should be taken according to the types of Pilon fracture.