Treatntent for the Varus Malunion and Nonunion of the Pilon Fracture

Objective: To report the effect of treatment for the varus malunion and nonunion of the Pilon fractures by a two-staged osteotomy, bone grafting and internal fixation. Methods: Twenty-five cases of varus malunion and nonunion Pilon fractures were treated by osteotomy and bone grafting (artificial bone, autograft bone ilia ) between 1996.7～2001.12, therapeutic effect were followed up by the way of postoperative objective, subjective and X-ray. Results: All patients were followed up for 7～26 months .These fractures healed up and the function of ankle joint excellent and good rate was 96%,satisfactory reduction were obtained. Conclusions: It is one of the ideal methods to treat Pilon fractures complication of varus malunion and nonunion by a two-staged osteotomy, bone grafting.and internal fixation.