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    Minimally invasive plate osteosynthesis for pilon fractures can lead to complications like nonunion and osteomyelitis. Careful attention to blood supply disruption during surgery is crucial to prevent adverse outcomes.

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    Area of Science:

    • Orthopedic Surgery
    • Traumatology

    Background:

    • Distal tibia (pilon) fractures are challenging to manage surgically due to frequent complications.
    • Minimally invasive plate osteosynthesis is a common surgical approach for these fractures.

    Observation:

    • This study observed complications following open reduction and internal fixation using miniplates for comminuted pilon fractures.
    • The technique aimed for accurate reduction of small fracture fragments.

    Findings:

    • Complications such as nonunion, avascular necrosis, and osteomyelitis occurred.
    • These complications are linked to the disruption of endosteal and periosteal blood supply during surgical intervention.

    Implications:

    • Surgical techniques for pilon fractures must prioritize preserving blood supply.
    • Awareness and mitigation of risks like nonunion and osteomyelitis are essential for successful patient outcomes.