Management of high-energy tibial pilon fractures
نویسندگان
چکیده
Tibial pilon fractures result from high-energy trauma unlike usual ankle fractures. Their management provides numerous challenges to the orthopaedic surgeon including obtaining anatomic reduction of articular surface and the management of associated soft tissue injuries. This article aims to review major advances and principles that guide our practice today. We also discuss a treatment algorithm based on a staged approach to the fracture: initial spanning external fixation followed by definitive fixation.
منابع مشابه
High-energy pilon fractures management
Pilon fractures are distal tibia end fractures affecting the weight-bearing articular surface. They represent around 1% of all lower extremity fractures, and are more common in males between 35 and 40 years of age.1 Such injuries may be caused by highor low-energy mechanisms. Axial compression injuries where the talus impacts on the distal articular surface, causing implosion of the tibial plaf...
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The surgical management of pilon fractures has evolved over the last several years with treatment shifting from acute definitive fixation to delayed fixation. One of the driving forces behind this change was the high incidence of soft tissue complications in those patients with high-energy pilon fractures (Orthopaedic Trauma Association 43B and 43C) managed with acute stabilization. Meticulous ...
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Management of severely comminuted, complete articular tibial pilon fractures (Rüedi and Allgöwer type III) remains a challenge, with few treatment options providing good clinical outcomes. Twenty patients with severely comminuted tibial pilon fractures underwent primary ankle arthrodesis with a retrograde calcaneal nail and autogenous fibular bone graft. The fusion rate was 100% and the varus m...
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BACKGROUND/AIM Distal tibial pilon fractures include extra-articular fractures of the tibial metaphysis and the more severe intra-articular tibial pilon fractures. There is no universal method for treating distal tibial pilon fractures. These fractures are treated by means of open reduction, internal fixation (ORIF) and external skeletal fixation. The high rate of soft-tissue complications asso...
متن کاملAWARD NUMBER: W81XWH-15-2-0087 TITLE: Pathomechanics of Post-Traumatic OA Development in the Military Following Articular Fracture PRINCIPAL INVESTIGATOR:
Patients with tibial pilon fractures have a higher incidence of post-traumatic osteoarthritis than those with fractures of the tibial plateau. This may indicate that pilon fractures present a greater mechanical insult to the joint than do plateau fractures. We tested the hypothesis that fracture energy and articular fracture edge length, two independent indicators of severity, are higher in...
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