Pilon fractures are complex injuries that can be difficult to treat and lead to severe complications if not managed appropriately. A thorough examination for polytraumatic injuries, neurovascular status, and skin condition should be done. A variety of approaches can be chosen based on fracture pattern, including staging, incisional approach, and no-touch technique. This article discusses various ways to manage pilon fractures.
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Development and validation of the nomogram of high fascial compartment pressure with pilon fracture.
Int Orthop
January 2025
Department of Orthopaedic Surgery, The Third Hospital of Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Purpose: High Fascial Compartment Pressure (HCP) is one of the most common complications in ankle fractures. This study aimed to investigate the incidence of HCP in pilon fracture and analyze the risk factors of HCP in order to closely monitor its further development into Acute Compartment Syndrome. A nomogram is constructed and validated to predict HCP in patients with pilon fracture.
View Article and Find Full Text PDFFunctional Outcomes of Pilon Fractures Treated by External Fixation, Delayed Plating, and Open Reduction and Internal Fixation (ORIF): A Prospective Cohort Study.
Cureus
November 2024
Orthopaedics, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.
Objective: This study aimed to evaluate the functional outcomes of three surgical management strategies for pilon fractures, including primary external fixation with delayed plating, external fixation with minimal internal fixation, and single-stage open reduction and internal fixation (ORIF) with plating.
Methods: This prospective cohort study included 34 patients with complex intra-articular fractures of the distal tibia (AO-OTA type 43-C) treated between June 2018 and December 2019. Patients were managed surgically based on the local skin condition and swelling, employing either primary-stage external fixation with delayed plating (Group A), external fixation with minimal internal fixation (Group B), or single-stage ORIF with plating (Group C).
[Biomechanical study of load-bearing stability of Pilon fracture fixed with external fixator].
Zhongguo Gu Shang
December 2024
Department of Traumatic Joints, The Third Affiliated Hospital of Beijing University of Chinese Medicine, Beijing 100102, China.
Objective: To explore weight-bearing stability of Pilon fracture fixed by external fixator.
Methods: Six ankle bone models (right side) and 4 pairs (8 ankle cadaver specimens) were selected. Pilon fracture model was prepared by using the preset osteotomy line based on Ruedi Allgower Pilon fracture type.
Fibula fixation is not associated with a higher rate of wound complications during pilon fracture open reduction internal fixation.
J Orthop
June 2025
Department of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA.
Introduction: There is a lack of consensus regarding indications for fibula fixation in pilon fractures. Reduction of the fibula fracture can assist with restoring lateral column length and reduction of the tibial plafond during pilon ORIF. However, there are theoretical concerns with wound complications and soft tissue insult.
View Article and Find Full Text PDF[Pilon fractures : Treatment strategy of a complex fracture entity].
Unfallchirurgie (Heidelb)
December 2024
Klinik für Orthopädie und Unfallchirurgie, Departement Chirurgie, Kantonsspital Graubünden, Loëstrasse 170, Chur, Schweiz.
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