Therapie von infizierten Pilon-Tibiale-Frakturen mit dem Ilizarov-Verfahren

Summary

Out of 70 Patients, who have been treated in the past 3 1/2 years according to the method of Ilizarov, 19 of these involved the distal tibia. Twelve of these patients underwent segmental transport with a healing index of 39 days/cm (bone formation). In 7 patients an initially planned ankle arthrodesis was performed. Thirteen docking regions healed without additional bone grafting. After bone transport soft tissue interposition had to be excised in three patients. In the relatively short follow-up period all patients remained free of infection.

The Ilizarov Method is minimally invasive and well suited for the treatment of distal tibial segmental defects. Due to the simultaneous soft tissue transport additional reconstructive procedures are not necessary. The three dimensional corrections from leg length discrepancies, angular deformities and non unions by gradual compression or distraction forces are a clear advantage to other operative techniques.