@article{article_1703263, title={Development of Minimally Invasive Strategies for Tibial Pilon Fractures}, journal={Journal of Cukurova Anesthesia and Surgical Sciences}, volume={8}, pages={222–228}, year={2025}, author={Çiçek, Ali Can and Aksay, Mehmet Fatih}, keywords={Kırık Fiksasyonu, Minimal İnvaziv;, Tibial Kırıklar;}, abstract={İntroduction-Aim: The research evaluates minimally invasive surgical techniques for tibial pilon fractures through AO/OTA classification while assessing clinical and radiological results and determining predictive elements. Methods: Between January 2019 and December 2022, 30 patients (18 males, 12 females) diagnosed with AO/OTA type 43-B and 43-C tibial pilon fractures and treated with minimally invasive surgery were retrospectively analysed. Patients were treated with percutaneous fixation (n=14) or minimally invasive plate osteosynthesis (n=16). The AOFAS score and pain VAS score and SF-36 were used to evaluate functional outcomes while articular reduction and joint step and alignment measurements were used to evaluate radiological outcomes. Results: The mean patient age was 45±12 years, and the mean follow-up period was 24 months. The rate of anatomical reduction was significantly higher in Type B fractures (87.5%) compared to Type C fractures (57.1%) (p=0.008). AOFAS scores reached an average of 85±8 at 12 months, but decreased significantly with increasing AO/OTA classification (β=-0.45, p=0.001). The risk of post-traumatic arthritis was significantly increased in AO type C2/C3 fractures (OR=6.8, p <0.001) and in cases with joint step-off >2 mm (OR=7.5, p <0.001). Conclusion: The treatment of tibial pilon fractures benefits from minimally invasive surgical approaches. The AO/OTA classification demonstrates prognostic value because functional and radiological outcomes worsen as fracture complexity increases. The surgical approach needs to be tailored based on the fracture pattern and individual patient factors.}, number={3}, publisher={Merthan TUNAY}, organization={Ağrı İbrahim Çeçen Üniversitesi Tıp Fakültesi}