[Clinical observation of characteristic and treatment of posterior Pilon XXXX ].

@entity1 @entity1171 @entity174 @entity6044
OBJECTIVE: To explore clinical characteristics and treatment of posterior @entity174 . METHODS: From January 2011 to January 2013,18 @entity1 with posterior Pilon fracures were treated. Among them, 13 were male and 5 were female, aged from 22 to 63 years old, with an average age of 46. All the @entity1 were @entity6044 . Open reduction and internal fixation were performed after swelling subsided, lateral malleolous and posterior @entity174 were exposured through lateral approach on healthy side, plates were used to fixed,screws or small plates were used to fix the posterior prominence of medial malleolus after changed to supine position. AOFAS scoring were applied to evaulate clinical effects. RESULTS: All @entity1 were followed up with an average of 22(ranged, 12 to 48)months. All @entity1 obtained satisfactory reset except one @entity1 . All factures were recovered well with an average healing of 11 weeks. According to AOFAS score at the final following up, 7 cases were excellent,2 cases were moderate, and the total score was 86.8  9.2. CONCLUSION: Posterior @entity174 is not rare in clinical, its mechanism of injury, traumatic anatomy, surgical procedure and prognosis are different from that of classical @entity1171 and @entity174 .
