[Muscle-flap plasty in fractures of the tibial pilon]

It is not rare in fractures of the distal lower leg, that precarious soft-tissue conditions compromise the outcome of early osteosynthesis. Because of oedema and haematoma the wound is widely split open and its primarily closure is perilous. In such a situation the stabilized fracture can be covered primarily with a local muscle-flap, such as extensor digitorum communis or peronaeus brevis. In the last 2 years we have chosen this solution in 6 cases.