Plating on the lateral surface of tibial plafond is a new entity and the anterolateral approach is gaining popularity for the fixation of tibial pilon fractures with many studies showing better. Two stages approach for tibial pilon fractures gives the opportunity to the softtissue to heal by using an external preone osteotaxis which improves the chances of complete recovery. Percutaneous techniques for tibial pilon fractures 18. Fracturas del pilon tibial 260809 tecnicas quirurgicas en. Summary objective an epidemiological study of long. Surgical approach in difficult tibial pilon fractures.
The aim of the present work was to emphasize the optimal surgical moment and the approach regarding complex fractures of the tibial pilon, as well as their most frequent complications. Low energy injuries that follow activities such as skiing. Primary ankle arthrodesis for severely comminuted tibial pilon fractures mohamed e. Primary ankle arthrodesis for severely comminuted tibial. The tibial diaphysis is the most frequent site of long bone fracture and accounts for 40% of all diaphyseal fractures. A retrospective study was made of 50 fractures of the tibial plateau treated surgically. Fractures of the distal tibia extending into the ankle joint were initially termed pilon fracture by destot in 1911 10, who compared the distal tibia to a pestle. Ruedi and allgower described three groups, specific to tibial pilon fractures, based on the size and displacement of articular fragments. Le osteotomie tibiali di addizione nelle gonartrosi e. Show full abstract by a variable degree of local soft tissue damage.
The pilon tibial fracture download ebook pdf, epub. Their results could be improved by following the new guidelines for the management, and modern plating. Ruedi and martin allgower the intraarticular fractures of the lower end of the tibia, the socalled pilon tibia1 fractures fig. Tibial pilon fractures are one of the most severe types of fractures, not only due to the complexity of their treatment, but also due to the important sequelae they may cause. This site is like a library, use search box in the widget to get ebook that you want. Moreover, an important percentage of them are open fractures or importantly involve the soft. Pilon fractures are caused by rotational or axial forces, mostly as a result of falls from a height or motor vehicle accidents. A pilon fracture also called a tibial plafond fracture is a comminuted fracture of the distal tibia involving the ankle joint. We present the study of 16 patients with valgus knee treated by external opening wedge tibial varus osteotomy above the tibial. Acta chirurgiae orthopaedicae et traumatologiae cechoslovaca. Alashhab, md p ilon fracture is a severe and challenging to treat distal tibial injury. Pdf anterolateral approach for tibial pilon fractures.
Fijacion externa del pilon tibial scielo cuba infomed. Hyperplantar flexion posterior pilon variants feat. 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. Because there is a limited muscle cover between skin and bone at this level of the lower limb, energy derived from injury is transferred directly to these soft tissue. A pilon fracture, is a fracture of the distal part of the tibia, involving its articular surface at the ankle joint. This injury occurs as the result of a highenergy vertical axial loading e. The operative treatment of fractures of the lower end. Tibial pilon fractures are a challenge because of the difficulty of treatment. Tibial pilon fractures represent less than 1% of all lower extremity fractures but between 5% and 10% of tibia fractures 30. The effectiveness of tibial osteotomy for the treatment of varus gonarthrosis has been widely discussed in the literature, while works reporting its role in the correction of constitutional or acquired posttraumatic valgus deformities are less numerous, if not rare.
The most common mechanism of injury is motor vehicle accident. Pilon fractures account for 1 to 7% of all tibial fractures 1114, and are accompanied. Fractura del pilon tibial conminuta y del perone me llamo carlos. Material and methods we have investigated an experimental group of 7 patients. Tibial plafond fractures are one of the most challenging injuries in orthopaedic surgery. Approximately 7% of all tibial fractures are tibial pilon fractures, i. The operative treatment of intraarticular fractures of the lower end of the tibia thomas p. Fractura, pilon tibial, tomografia computarizada, osteosintesis, tejidos blandos. Click download or read online button to get the pilon tibial fracture book now.