One hundred two patients with 103 pilon fractures were identified who were definitively treated at our institution from 2004 to 20. The goal of this retrospective, observational, case series study was to evaluate the mediumlongterm clinical and radiographic results of the three most common surgical osteosynthesis techniques used for the treatment of articular tibial pilon fractures. The aim of the present work was to emphasize the optimal surgical moment and the approach regarding complex fractures of the tibial pilon, as well as their most frequent complications. Open fractures and extensive destruction of the articular surfaces are important challenges to the treating surgeon. Fractures of the tibial pilon are difficult to manage because of their severity. This type of fracture requires long postoperative rehabilitation time than basic ankle fractures 8. Typical accident mechanisms are highenergy trauma due to a fall. Pdf in a series of 126 consecutive pilon fractures, we have described anatomically explicable fragments. Fracture lines describing these fragments have revealed ten types of pilon fracture which belong to two families, sagittal and coronal. Pilon fractures treatmentmanagement surgical option 1. Pdf tibial pilon fractures bruno battiston academia. Tibial fractures in childhood are also discussed, especially regarding the possibility of subsequent deformity. Fractures of the tibial pilon also available in format docx and mobi. Fractures of the tibial pilon download pdfepub ebook.
Orthopedics the anterolateral approach to the tibia has been popularized for management of tibial pilon fractures. Reduction of the articular surface of the distal tibia 3. Multi trauma case study with a focus on tibia pilon. Pdf anatomy of pilon fractures of the distal tibia. In consequence the outcome for distal meta and epiphyseal tibial fractures depends largely on the severity of the soft tissue injury and its management. They make 1% of lower limb fractures and 7% of tibia fractures 1. This site is like a library, use search box in the widget to get ebook that you want. Filling of metaphyseal bone defects with cancellous autograph 4. They are the product of highenergy compression forces and too frequently result in comminution and impaction of the weightbearing surface of the distal tibia.
Pilon fractures are intra articular distal tibia fractures involving articular surface or tibial plafond. Distal anterolateral tibial plate proximal lateral tibial plate the axsos locking plate system is intended for use in long bone fracture fixation. Patients with pilon fractures are liable for developing many complications that result from long period of immobilization as well as from the nature of injury. Features and benefits can be cut and contoured for anatomic fit on left or right distal tibia. In most cases, both bones in the lower leg, the tibia and fibula, are broken near the ankle. The results of the fremap functional assessment scale were analyzed together with burwellcharnleys radiographic criteria. To find indepth information on ankle fractures, please read ankle fractures broken ankle a pilon fracture is a type of break that occurs at the bottom of the tibia shinbone and involves the weightbearing surface of the ankle joint. Pilon fractures were classified using the aoota classification and included 43a through 43c fractures. Fractures of the distal tibial metaphysis, with extension into the articular region, or pilon fractures, are commonly due to vertical compression trauma, or, more rarely, to torsional forces which result in a spiral fracture of the distal tibia with extension into the ankle joint. Tibial pilon fractures are severe injuries to the distal articular surface of the tibia. Evaluation of fibular fracture type vs location of tibial. A twochoice strategy through a medial tibial approach for the treatment of pilon fractures with posterior or anterior fragmentation. Click download or read online button to get the pilon tibial fracture book now. Inclusion criteria were age of at least 18 years, associated fibular fracture, and definitive tibial plating.
Intraarticular fracture of the distal tibia without significant displacement. These fractures are commonly the result of highenergy trauma and are associated with increased morbi. Distal tibia and fibula multifragmentary fracture percutaneous plate fixation of the lower leg mipo technique tibia, distal pilon tibial fracture type 43c3. Material and methods we have investigated an experimental group of 7 patients. Influence of the type of fracture and precision of the articular reduction on the prognosis. This article addresses pilon fracturesa specific type of fracture that occurs in the lower leg near the ankle. This injury occurs as the result of a highenergy vertical axial loading e. Pilon fracture rehabilitation exercises program outcome. Check out more on our facebook page by going to facebook and searching for the group called pilon fractures suck below are some videos that i took in the clinic doing some dynamic movement that i could not do without this amazing device. Such injuries frequently result from highenergy axial impact and are often associated with extended soft. For tibial pilon fractures in adults, the authors illustrate the distinction between closed lesions and lesions involving soft tissue exposure and trauma, and describe the different options.
Pilon fractures affect the bottom of the shinbone tibia at the ankle joint. Pilon tibial plafond fractures ruedi and allgower classification classification type i. Surgical approach in difficult tibial pilon fractures. In this article, we are going to learn just an overview of the protocol. Pilon fractures may be considered highenergy ankle fractures. Kaarela2 1department of orthopaedic trauma, oulu university hospital, oulu, finland 2department of plastic surgery, oulu university hospital, oulu, finland c e r a m e n t c a s e o f t h e m o n t h c e r a m e n t c a s e o f t h e m o n t h. He was treated initially with external fixation for 11 days before his softtissues would permit definitive open internal fixation. Di giorgio l, touloupakis g, theodorakis e, sodano l. Pilon fractures constitute 1% of lower limb fractures and 7% of tibial fractures. Stabilization of the distal tibia nonsurgical option 1. Fractures of the tibial pilon download ebook pdf, epub. Historical perspective the term tibial pilon was first used by destot in 1911, likening the pilon to a pestle. A pilon fracture also called a tibial plafond fracture is a comminuted fracture of the distal tibia involving the ankle joint.
Tibial p ond laf fractures pilon fr act ur es muhammad abdelghani 2. In a series of 126 consecutive pilon fractures, we have described anatomically explicable fragments. Scribd is the worlds largest social reading and publishing site. My pilon fracture recovery story aka tibial plafond fracture. Tibial pilon fracture lcp distal tibial plate youtube. Tibia, distal intraarticular pilon ao principles of. Pilontibialefrakturen sind insgesamt seltene verletzungen. Conventionally, tibial pilon fractures require surgical intervention. The pilon tibial fracture classification this is likewise one of the factors by obtaining the soft documents of this the pilon tibial fracture classification surgical techniques results 1e by heim phd dr med urs f a 1995 hardcover by online. Mediumlongterm radiographic and clinical outcomes after. Tibial pilon fracture with intact fibula everything you need to know dr. The pilon tibial fracture download ebook pdf, epub. Pilon or plafond fractures occur in the distal portion of the tibia.
Click download or read online button to get fractures of the tibial pilon book now. He sustained an injury to his right leg as seen in figures a and b. Although there is no consensus on which is the best treatment, it is evident that combined treatment including external and. The axsos locking plate system is indicated for fixation of long bone fractures including fractures of the distal radius, the proximal humerus, the distal tibia, proximal tibia and the distal femur. Tibia, distal pilon tibial fractures buttress of the distal tibia with plates andor screws, and cancellous autograft. This approach offers the benefit of improved soft tissue coverage and the.
718 659 1356 223 192 123 156 1192 809 1449 1004 985 457 361 1031 80 207 299 760 738 1146 237 219 848 1201 1060 1604 488 943 1324 1149 1443 408 410 992 864 1394 1274 148 830 1422