Tibial pilon fractures are severe injuries to the distal articular surface of the tibia. Material and methods we have investigated an experimental group of 7 patients. Download fractures of the tibial pilon ebook for free in pdf and epub format. Although there is no consensus on which is the best treatment, it is evident that combined treatment including external and. Pilon fracture rehabilitation exercises program outcome. Fracture lines describing these fragments have revealed ten types of pilon fracture which belong to two families, sagittal and coronal.
Tibial pilon fractures are challenging to treat, as they are typically intraarticular and associated with extensive soft tissue damage. Pdf anatomy of pilon fractures of the distal tibia. Scribd is the worlds largest social reading and publishing site. He sustained an injury to his right leg as seen in figures a and b. Di giorgio l, touloupakis g, theodorakis e, sodano l. They make 1% of lower limb fractures and 7% of tibia fractures 1. Fractures of the tibial pilon also available in format docx and mobi. In consequence the outcome for distal meta and epiphyseal tibial fractures depends largely on the severity of the soft tissue injury and its management. Click download or read online button to get the pilon tibial fracture book now. This approach offers the benefit of improved soft tissue coverage and the. This injury occurs as the result of a highenergy vertical axial loading e. 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.
He was treated initially with external fixation for 11 days before his softtissues would permit definitive open internal fixation. Features and benefits can be cut and contoured for anatomic fit on left or right distal tibia. Distal tibia and fibula multifragmentary fracture percutaneous plate fixation of the lower leg mipo technique tibia, distal pilon tibial fracture type 43c3. Mediumlongterm radiographic and clinical outcomes after. Pilon fractures were classified using the aoota classification and included 43a through 43c fractures. This type of fracture requires long postoperative rehabilitation time than basic ankle fractures 8.
Typical accident mechanisms are highenergy trauma due to a fall. In this article, we are going to learn just an overview of the protocol. Multi trauma case study with a focus on tibia pilon. Pilon tibial plafond fractures ruedi and allgower classification classification type i. Fractures of the tibial pilon are difficult to manage because of their severity. One hundred two patients with 103 pilon fractures were identified who were definitively treated at our institution from 2004 to 20. Conventionally, tibial pilon fractures require surgical intervention. Pilon fractures may be considered highenergy ankle fractures. In most cases, both bones in the lower leg, the tibia and fibula, are broken near the ankle. Tibial p ond laf fractures pilon fr act ur es muhammad abdelghani 2. Pdf the pilon tibial fracture classification surgical.
Pilontibialefrakturen sind insgesamt seltene verletzungen. A twochoice strategy through a medial tibial approach for the treatment of pilon fractures with posterior or anterior fragmentation. A patients guide to ankle fractures a ring usually breaks in two separate regions and this is often the case in the ankle joint. Distal anterolateral tibial plate proximal lateral tibial plate the axsos locking plate system is intended for use in long bone fracture fixation. Influence of the type of fracture and precision of the articular reduction on the prognosis. 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.
Click download or read online button to get fractures of the tibial pilon book now. Historical perspective the term tibial pilon was first used by destot in 1911, likening the pilon to a pestle. 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. Reduction of the articular surface of the distal tibia 3. Filling of metaphyseal bone defects with cancellous autograph 4. Pilon fractures are intra articular distal tibia fractures involving articular surface or tibial plafond.
Tibia, distal intraarticular pilon ao principles of. Pdf tibial pilon fractures bruno battiston academia. In a series of 126 consecutive pilon fractures, we have described anatomically explicable fragments. 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.
Pilon fractures constitute 1% of lower limb fractures and 7% of tibial fractures. Tibial fractures in childhood are also discussed, especially regarding the possibility of subsequent deformity. 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. Pilon fractures treatmentmanagement surgical option 1. A pilon fracture also called a tibial plafond fracture is a comminuted fracture of the distal tibia involving the ankle joint. The pilon tibial fracture download ebook pdf, epub.
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. Tibial pilon fractures destot 1911, lyon, le pilon. These fractures are commonly the result of highenergy trauma and are associated with increased morbi. This site is like a library, use search box in the widget to get ebook that you want. Tibial pilon fracture lcp distal tibial plate youtube. Orthopedics the anterolateral approach to the tibia has been popularized for management of tibial pilon fractures. Pilon or plafond fractures occur in the distal portion of the tibia. Tibia, distal pilon tibial fractures buttress of the distal tibia with plates andor screws, and cancellous autograft. Surgical approach in difficult tibial pilon fractures. This article addresses pilon fracturesa specific type of fracture that occurs in the lower leg near the ankle. Fractures of the tibial pilon download pdfepub ebook. My pilon fracture recovery story aka tibial plafond fracture.
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. 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. Such injuries frequently result from highenergy axial impact and are often associated with extended soft. 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. Pdf in a series of 126 consecutive pilon fractures, we have described anatomically explicable fragments. Evaluation of fibular fracture type vs location of tibial. Stabilization of the distal tibia nonsurgical option 1. 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. Inclusion criteria were age of at least 18 years, associated fibular fracture, and definitive tibial plating. The results of the fremap functional assessment scale were analyzed together with burwellcharnleys radiographic criteria. Intraarticular fracture of the distal tibia without significant displacement.
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