2024年3月10日 · A tibial plafond fracture (also known as a pilon fracture) is a fracture of the distal end of the tibia, most commonly associated with comminution, intra-articular extension, and significant soft tissue injury. Diagnosis is typically made through clinical evaluation and confirmed with plain radiographs.

Ankle fractures are very common injuries to the ankle which generally occur due to a twisting mechanism. Diagnosis is made with plain radiographs of the ankle. Treatment can be nonoperative or operative depending on fracture displacement, ankle stability, presence of syndesmotic injury, and patient activity demands.

Nowadays a staged protocol is the main choice for ORIF in the treatment of tibial pilon fractures. The main goals are the anatomical reconstruction of the articular surface and the restoration of the correct rotational alignment to achieve best functional results (54).

for acute fusion in severely comminuted, osteoporotic, or arthritic fractures in patients with poor healing potential. This article outlines the diagnostic workup and treatment of these vexing injuries with solutions to challenges that arise. Keywords: pilon fracture, plafond fracture, intra-articular ankle fractures, distal tibia fracture, AO ...

Open reduction and internal fixation of these intra-articular fractures requires an appreciation for a number of basic principles: respect the soft tissues, understand the fracture pattern, use safe surgical approaches, and provide stability that allows for early motion of the ankle.

Fractures of the distal tibial plafond (ie, pilon) comprise a broad range of injury mechanisms, patient demographics, and soft-tissue and osseous lesions. Patients often present with considerably comminuted fracture patterns and notable soft-tissue compromise.

2022年12月28日 · A pilon fracture is a type of distal tibial fracture involving the tibial plafond. These are considered to represent 1-10% of all lower limb fractures 6. Typically high energy injuries and occur as a result of an axial loading which drives the talus into the tibial plafond. Several classification systems exist.

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. With this type of injury, the other bone in the lower leg, the fibula, is frequently broken as well.

Summarize the most frequent mechanisms of injury resulting in a pilon fracture. Review the diagnostic approach for an evaluation and assessment of a patient presenting with a potential pilon fracture, including any indicated imaging studies.

What is a pilon fracture? A pilon fracture is a relatively rare bone break that happens at the bottom of your tibia (the larger of the two bones in your lower leg, or your shinbone) near your ankle. In many cases of pilon fractures, the other bone in your lower leg, your fibula, is broken as well.