Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. February 15, 2016 9 Comments . The surgeon also may get a CT scan of your ankle to view all o… Acta Orthop Belg. -, Rüedi T. Fractures of the lower end of the tibia into the ankle joint: results 9 years after open reduction and internal fixation. 2014 Jul;28(7):828-31. Your surgeon will be watchful for other injuries that may be present. These are considered to represent 1-10% of all lower limb fractures 6.  |  Distal tibia fracture; Intra-articular fracture; Pilon fracture; Plafond fracture. Seventeen patients with Pilon fractures were enrolled in this retrospective … In response, staged protocols were created. When it does enter the ankle joint, it normally does so posteriorly or medially. 2013 Oct;34(10):1421-6. doi: 10.1177/1071100713491561. A pilon fracture is a type of distal tibial fracture involving the tibial plafond. Chronic ankle pain can occur after a pilon fracture. 2020 Aug;25(8):080601. doi: 10.1117/1.JBO.25.8.080601. Length and alignment were then re-established by reduction of the lateral column. In addition, your surgeon will take X-rays of your leg and ankle to see how badly the tibia and fibula are broken. Additional studies are evaluating adjuvants to minimize wound complications, including the use of vancomycin powder and oxygen supplementation, while another study challenges the 7-cm myth regarding the distance needed between skin incisions. 1973 Nov;5(2):130-4. Clipboard, Search History, and several other advanced features are temporarily unavailable. By The Event 2015 FEATURING Patrick Yoon. We proposed the four-column classification in order to promote long-term prognosis of Pilon fractures. Management of high-energy tibial pilon fractures. Pilon fractures often involving a lengthy, sometimes painful recovery time. This was accomplished with reduction and stabilization of the fibula, as well as the lateral plafond. 2015 Nov;10(3):137-47. “Pilon,” the French word for pestle, was first used by Etienne Destot in 1911 as an analogy for the mechanical function of the distal tibia on the talus. Posterior pilon fracture is a common type of intraarticular fracture encountered in clinical practice. Unfallchirurg. [SURGICAL TREATMENT OF Rüedi-Allgöwer III Type Pilon FRACTURES]. These fractures involve the … The bones may be broken in multiple places. Surgical treatment of tibial plafond fractures. A pilon fracture (also called a tibial plafond fracture) is a comminuted fracture of the distal tibia involving the ankle joint. Aim; to evaluate the effect of rehabilitation exercises program on Pilon fracture outcome. A trimalleolar fracture is an unstable type of ankle fracture. -, 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. Ankle arthritis occurs in up to 40% of people with pilon fractures. The two most common classification systems used to describe pilon fractures are the Ruedi-Allgower classification and the AO/OTA classification. In addition to classifying the fracture type, consideration must be given to the extent of soft tissue damage using the Gustilo-Anderson classification for open fractures or the Tscherne classification for closed fractures. 2017 Aug;120(8):632-639. doi: 10.1007/s00113-017-0363-9. Nonsurgical treatment would be recommended only if … 2004 Sep;18(8 Suppl):S32-8. 2012 Jun;26(6):341-7. doi: 10.1097/BOT.0b013e318225881a. 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