Strategies in Trauma and Limb Reconstruction

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VOLUME 10 , ISSUE 3 ( November, 2015 ) > List of Articles

Review

Management of high-energy tibial pilon fractures

Nebu Jacob, Amit Amin, Nikolaos Giotakis, Badri Narayan, Selvadurai Nayagam, Alex J. Trompeter

Keywords : Pilon fractures, Management, Strategy, Algorithm, Reconstruction, Bone defects

Citation Information : Jacob N, Amin A, Giotakis N, Narayan B, Nayagam S, Trompeter AJ. Management of high-energy tibial pilon fractures. 2015; 10 (3):137-147.

DOI: 10.1007/s11751-015-0231-5

License: CC BY-NC-SA 4.0

Published Online: 30-11-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Tibial pilon fractures result from high-energy trauma unlike usual ankle fractures. Their management provides numerous challenges to the orthopaedic surgeon including obtaining anatomic reduction of articular surface and the management of associated soft tissue injuries. This article aims to review major advances and principles that guide our practice today. We also discuss a treatment algorithm based on a staged approach to the fracture: initial spanning external fixation followed by definitive fixation.


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