@article{ref1,
title="Pylon fractures of the distal tibia",
journal="Clinical orthopaedics and related research",
year="1989",
author="Bourne, R. B.",
volume="ePub",
number="240",
pages="42-46",
abstract="Forty-two patients with pylon fractures were categorized into Rüedi and Allgöwer Type I (26%), Type II (29%), and Type III (45%) subgroups and assessed. The mean follow-up period was 4.4 years (range, two to eight years). Type I fractures were usually torsion injuries, whereas Types II and III fractures were associated with violence (i.e., motor vehicle accident or fall from a height). Types I and II pylon fractures proved to be amenable to open reduction and restoration of anatomic position, stable internal fixation, early joint motion, and delayed weight bearing. Over 80% of these patients had satisfactory function. Nonanatomic reduction, unstable fixation, infection, nonunion, malunion, and secondary arthrosis were associated with disability from Type III pylon fracture treatment. Only 32% of Type III pylon fracture patients had satisfactory joint function.<p /><p>Language: en</p>",
language="en",
issn="0009-921X",
doi="",
url="http://dx.doi.org/"
}