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Related Concept Videos

Fractures: Bone Repair01:27

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
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Anterolateral Approach to the Pilon.

Lindsay E Hickerson1, Diederik O Verbeek, Craig E Klinger

  • 1*Oklahoma University Health Science Center, Oklahoma City, OK; and †Hospital for Special Surgery, New York, NY.

Journal of Orthopaedic Trauma
|July 22, 2016
PubMed
Summary
This summary is machine-generated.

The anterolateral approach provides excellent visualization for distal tibial plafond fracture fixation. This technique, when used in a staged manner, achieved good fracture reduction in most cases.

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Area of Science:

  • Orthopaedic Surgery
  • Traumatology

Background:

  • Distal tibial plafond fractures, particularly type C3 pilon injuries, present significant surgical challenges.
  • Optimal fracture reduction and fixation are crucial for successful outcomes in these complex injuries.

Purpose of the Study:

  • To review the indications and surgical technique of the anterolateral approach for distal tibial plafond fractures.
  • To evaluate the effectiveness of the anterolateral approach in a cohort of complex pilon fractures.

Main Methods:

  • Review of indications and surgical technique for the anterolateral approach.
  • Retrospective review of 44 type C3 pilon fractures treated with a staged anterolateral approach following external fixation.

Main Results:

  • The anterolateral approach offers excellent visualization for fracture fixation, especially with a prepared soft tissue envelope.
  • Anatomic or good fracture reduction was achieved in 41 out of 44 fractures.
  • A secondary surgical procedure was required in 13.6% of patients, primarily for infection or nonunion.

Conclusions:

  • The anterolateral approach is a viable surgical option for distal tibial plafond fractures.
  • Staged management with the anterolateral approach can yield good fracture reduction in complex pilon injuries.
  • Careful patient selection and soft tissue management are important to minimize complications such as infection and nonunion.