The Prognosis on Pilon Fracture Treatment and Recovery Immediately stabilize anyone suffering a high-energy pilon fracture. Copyright © 2020, StatPearls Publishing LLC. An incision is made along the anterior border of the fibula, and dissection was carried out both anterior and posterior to the fibula, providing access to the fibula and anterolateral tibia, An anterolateral approach to the distal tibia. [Pilon fractures : Review of diagnostics and classification]. Related Content AUTOPLAY ON. Note the full-thickness soft tissue flaps created to access the fracture site. Unfallchirurg. Your surgeon will be watchful for other injuries that may be present. The results of this exam will help the surgeon to determine how best to treat the pilon fracture. Fractures of the distal tibial plafond are also termed pilon fractures to describe the high energy axial compression force of the tibia as it acts as a pestle, driving vertically into the talus. -, Rüedi TP, Allgöwer M. The operative treatment of intra-articular fractures of the lower end of the tibia. These fractures account for approximately 1% to 10% of the lower leg or tibial fractures and are often associated with severe bone comminution and soft tissue compromise. This pain can be related to stiffness, scar tissue, and ankle arthritis.  |  These injuries are low-velocity in nature that create an oblique or spiral fracture pattern of the distal tibia that may or may not enter the ankle joint. Ipsilateral intact fibula as a predictor of tibial plafond fracture pattern and severity. USA.gov. -, Mauffrey C, Vasario G, Battiston B, Lewis C, Beazley J, Seligson D. Tibial pilon fractures: a review of incidence, diagnosis, treatment, and complications. The treatment of this fracture pattern has been increasingly reported. The image…, An anterolateral approach to the distal tibia. The two most common classification systems used to describe pilon fractures are the Ruedi-Allgower classification and the AO/OTA classification. He is now 3 weeks from injury and skin swelling has subsided significantly. eCollection 2019. Conclusion: Pilon fracture with intact fibula is mostly caused by medium-low energy injury when the ankle is at neutral or varus position. Skin wrinkles returned 7 days post injury (copyright by AO Foundation, Switzerland), Various intervals that can be used to approach the distal tibia. The distal tibia has a quadrilateral cross-sectional shape and together with the fibula, ligaments, and capsule, forms the ankle mortise. Acta Chir Orthop Traumatol Cech. 2014. The first stage is usually an external fixator to hold the fracture out to length and in better reduction. ... this type of fracture has a poor prognosis, with high probabilities of internal fixation failure and traumatic arthritis. This was accomplished with reduction and stabilization of the fibula, as well as the lateral plafond. Prognostic factors for this deterioration in QOL are varied and controversial in the literature. http://www.theaudiopedia.com What is PILON FRACTURE? Lastly, the medial column was restored and buttressed using a low-profile scallop plate. Tibial pilon fractures remain difficult to treat for even the most skilled orthopedic trauma surgeons. Pilon fractures are rare, comprising 3 to 10 percent of all fractures of the tibia and 1 percent of all lower extremity fractures, but they involve a large part of the weight-bearing surface of … Korkmaz A, Ciftdemir M, Ozcan M, Copuroğlu C, Sarıdoğan K. Injury. Many pilon fractures occur due to high energy injuries such as motor vehicle accidents, falls from a height, or high-velocity sports injuries such as falling when skiing. 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