Tibial Pilon Fractures

Mueller, F. J. and Nerlich, M. (2010) Tibial Pilon Fractures. ACTA CHIRURGIAE ORTHOPAEDICAE ET TRAUMATOLOGIAE CECHOSLOVACA, 77 (4). pp. 266-276. ISSN 0001-5415

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Abstract

Tibial pilon fractures are severe injuries to the distal articular surface of the tibia. Such injuries frequently result from high-energy axial impact and are often associated with extended soft tissue injury. Various treatment methods are available, depending not only on the fracture type but mostly on the extent of the soft tissue injury; one of the most frequent procedures is a two-stage surgery: the initial closed reduction of the fracture via primary placement of an ankle joint-spanning external fixator, if possible in conjunction with open reduction and internal fixation of the fractured fibula followed by a secondary procedure after soft tissue recovery by open reduction and internal fixation of the tibial plafond. By now, new types of low-profile and locking plates are available for internal fixation allowing the anatomical reconstruction of the fractured articular surface while sparing the soft tissue. Nonetheless, the treatment of tibial pilon fractures is technically demanding because of their potential for severe complications.

Item Type: Article
Uncontrolled Keywords: INTRA-ARTICULAR FRACTURES; SOFT-TISSUE DAMAGE; INTERNAL-FIXATION; PLAFOND FRACTURES; OPEN REDUCTION; INTRAARTICULAR FRACTURES; OPERATIVE TREATMENT; TREATMENT PROTOCOL; DISTAL TIBIA; LOWER END;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Unfallchirurgie
Medicine > Lehrstuhl für Orthopädie
Depositing User: Petra Gürster
Date Deposited: 17 Apr 2020 06:49
Last Modified: 17 Apr 2020 06:49
URI: https://pred.uni-regensburg.de/id/eprint/24336

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