Historical Perspective The term ‘tibial pilon’ was first used by Destot in 1911, likening the pilon to a pestle. Methods Sixty-nine patients were categorized into groups based on ankle position at the time of the injury: Group I (varus), Group II (valgus), Group III (dorsiflexion), Group IV (plantarflexion), and Group V (neutral). 2016 Apr;9(2):163-8. doi: 10.1177/1938640015620637. The approach is selected based on fracture location and type. 2020 You do not currently have access to this content. The axial compression force, torsion, and shear and bending from different angles constitute the basic mechanism of the pilon fracture (2) . To explore the application and clinical efficacy of surgical approach strategies in open reduction internal fixation of closed complex tibial Pilon fractures based on axial CT scans. Etienne Destot, a French Radiologist, is credited for using the term to describe the fracture in 1911. Pilon is the French word for a pestle. C, Posterolateral (fibula). Keywords: Pilon fracture, Distal tibial fracture, Surgical approach, Surgical strategy, Introduction Tibial Pilon fractures are not common, accounting for only 5–7% of tibial fractures. … 5 A, B) (12), with soft tissuelesions type IIIA (Fig. Note that, in addition to the fracture of the medial and lateral malleolus, the plafond or weight-bearing area is fracture… Usually, it is either anteromedial or The aim of this study was to evaluate the pitfalls and strategies of posterior column reduction in the treatment of complex tibial pilon fractures (AO/OTA 43-C3). Among all Pilon … Unreconstructable Pilon Fractures: An Overview of Two Surgical Approaches and Their Outcomes Lauren Caradonna Southern Scholars Senior Project, March 2012 Southern Adventist University—Collegedale, TN Research Advisor 21-1) Figure 21-1. For the reduction of pilon fractures with displaced central fragments and/or impaction, the exact approach is planned from the CT. [] in 2000, and later reported by Weber [], which is described as posterior malleolar fractures extending into posterior colliculus, indicating the presence of posteromedial (PM) fragment. 6).Surgical procedure included wound Treatment of pilon fractures remains challenging due to the difficulty of fracture reduction and associated soft tissue complications. AO Surgery Reference is a resource for the management of fractures, based on current clinical principles, practices and available evidence. Pilon fracture is a common fracture in trauma orthopedics and most of them are high-energy injury involving the distal tibial joint surface accompanied by fibular fractures and severe soft tissue injuries. Tibial P ond laf Fractures (Pilon Fr act ur es) Muhammad Abdelghani 2. Surgical Approaches (Fig. Internal fixation of the fracture and arthrodesis was performed using Posterior pilon, which has drawn attention over recent years, is considered as a variant of posterior malleolar fracture [1–15].The term was first given by Hansen et al. Methods Pilon fracture patients with intact fibula treated in our hospital from January 2010 to December 2014 were observed. The subchondral bone was drilled with a 2.0-mm drill. An anterolateral approach is used to obtain plate fixation as shown in Figure A. He compared the talus to a pestle. characterize fracture pattern, amount of comminution, metaphyseal bone loss, shortening, and angulation commonly 3 fragments according to ankle ligaments: medial malleolar (deltoid), anterolateral (AITFL, Chaput), and posterolateral (PITFL, Volkmann) fragments Foot Ankle Spec . The purpose of this study is to evaluate a surgical strategy for pilon fractures based on ankle position/initial direction of fracture displacement at the time of injury. Liu J, Smith CD, White E, Ebraheim NA. Pilon fracture Other names Plafond fracture X-ray of a fracture involving the articular surface of the Tibia Specialty Orthopedic surgeryPilon is the French word for "pestle" and was introduced into orthopedic literature in 1911 by pioneer French radiologist Étienne Destot. Background/aim:Pilon fracture is difficult to treat fractures due to many complications that can develop after surgery. fracture lines common to all pilon fractures, knowledge of which is vital for pre-operative planning, incision place-ment and articular reduction. The pilon fracture components were reduced, and remaining articular cartilage from the ankle was removed. This video is a cadaveric dissection of the ankle showing first an anteromedial approach and then a posteromedial approach best used for pilon fractures. (OBQ11.6) A 34-year-old female sustains a pilon fracture after jumping from a ledge. A, Anteromedial. Most pilon fractures are Cross-sectional schematic showing the intervals for common approaches to pilon fractures. 10.1055/b-0036-129629 Distal Tibia Fractures Sean E. Nork Fractures of the distal tibia are among the most difficult injuries facing the orthopaedic traumatologist. Approaches to Treating Pilon Fractures Feat. A retrospective analysis was performed of 19 cases of Rüedi-Allgöwer type III unilateral closed pilon fracture. 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