Fragments of pilon fractures could be adequately reduced without exposing the soft tissues of the ankle to additional trauma when investigators at Ashford and St. Peters NHS Foundation Trust used Ilizarov external frames for indirect reduction, fixation and stabilization of fractures, according to a presentation given here.
Ashwin Unnithan, MBBS, MSc, FRCS (Ortho), and colleagues studied 97 consecutive patients with a pilon fracture seen at the Trust, which is a regional referral center for patients who need Ilizarov frame fixation. All the patients were treated with frame fixation. They had 54 months mean follow-up. The mean time to union for the fractures was 6 months.