Extensor hallucis longus (EHL) fibrosis is an uncommon complication following a pilon fracture. This is caused by compartment syndrome from fracture immobilization followed by adhesion of muscle or tendon. Only a few cases of EHL fibrosis secondary to a post-traumatic lower leg fracture have been reported. This paper reports on a rare case of isolated EHL tendon fibrosis after a pilon fracture. It will outline the treatment received and the current prognosis of the patient, while also discussing methods for prevention of this complication.
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http://dx.doi.org/10.7759/cureus.78195 | DOI Listing |
J Med Case Rep
March 2025
Department of Orthopaedic Surgery, Teikyo University School of Medicine, 2-11-1, Kaga, Itabashi, Tokyo, 173-8605, Japan.
Background: Ankle arthrodesis is the most frequently performed salvage procedure for pyogenic arthritis. However, its failed fusion rate of approximately 15% has been considered problematic. Herein, we present a case of pyogenic ankle arthritis successfully treated via a two-stage surgical procedure on the basis of the induced membrane technique.
View Article and Find Full Text PDFFoot Ankle Surg
February 2025
Department of Orthopaedic Surgery, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Background: Pilon fractures, constituting 3-10 % of all tibia fractures, present significant challenges due to their complex nature and frequent involvement of soft tissue damage. Effective management necessitates careful preoperative planning and strategic surgical approach selection. This study aims to provide a comprehensive cadaveric analysis comparing eight distinct surgical approaches to tibial pilon fractures, focusing on the consistently exposed segment and the extent of the exposed bone area for each approach.
View Article and Find Full Text PDFExtensor hallucis longus (EHL) fibrosis is an uncommon complication following a pilon fracture. This is caused by compartment syndrome from fracture immobilization followed by adhesion of muscle or tendon. Only a few cases of EHL fibrosis secondary to a post-traumatic lower leg fracture have been reported.
View Article and Find Full Text PDFJ Bone Joint Surg Am
February 2025
Department of Orthopedic Surgery, Zhongshan Hospital, Fudan University, Shanghai, People's Republic of China.
Background: Preoperative planning is critical for the operative management of any fracture. Unfortunately, conventional planning methods for pilon fractures have not yielded satisfactory results. Therefore, the purpose of this study was to evaluate whether the outcomes of surgically treated pilon fractures could be improved with computer-assisted preoperative planning.
View Article and Find Full Text PDFJ Orthop
October 2025
The University of Toledo Medical Center, Department of Orthopaedic Surgery, USA.
Posterior pilon fractures (PPFs) are intra-articular ankle injuries of the posterior aspect of the distal tibia, often caused by high-energy mechanisms of trauma such as falling from high heights or motor vehicular accidents. However, the definition, mechanism, classification, and surgical approach for fractures have not been thoroughly investigated. This study aims to explore current literature to expand the understanding of this fracture to help physicians achieve better treatment outcomes.
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