الفهرس 
Surgical treatment of Complex Pilon Fracture by Open Reduction and Internal Fixation Versus External Ilizarov
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Abstract
Thisstudy demonstratesthat the external fixator ilizarov versus locked plate, is a reasonable and viable option in the treatment of severe distal tibia fractures, especially those with soft-tissue or bony
compromise (complex fracture). Satisfactory reduction was possible through closed or open
approaches. Excellent to good results were obtained in over 70% in patients with distal tibial fractures
(pilon fracture). Healing occurred mostly without bone-grafting. There were few complications,most
of these complications were minor and did not affect final outcome.
The results of the current study no significant difference both groups in clinical and radiological
results in short term follow up
Analysis of the current result according to AOFAS score show marked improvement in both
group after pilon fixation by ilizarov 89.75 mean at latest visit or locked plate89.85 mean at latest visit
.
Based on the current study, AOFAS in ilizarov(20 patient) methods has 12 excellent, 4 good, 3
fair, 1 poor and in plate(20 patient) methods has 10 excellent, 5 good, 4 fair, 1 poor.
the surgeon should understand that the severity of the soft tissue injury cannot be separated from
the degree of skeletal involvement.
There is no evidence in the literature to indicate which methods is better, only in sever soft tissue
injury ilizarov is superior on locked plate in our study as the most other literature.
We did not record any case of revision, deep infection and metal failure.