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Updated: Feb 8, 2026

Author Spotlight: Double Posteromedial Approach for Treating Posterior Cruciate Ligament Cysts
Published on: October 20, 2023
ORIF Pilon via Posteromedial and Anterolateral Approaches
Christopher M McAndrew1, William M Ricci2, Anna N Miller1
1Department of Orthopaedic Surgery, Washington University in Saint Louis, Saint Louis, MO.
Abstract:
Tibial pilon fractures are complex injuries of soft tissue and bone that challenge patients and surgeons. Outcomes following this injury are guarded, and complications are frequently reported. Soft-tissue compromise at the time of injury is potentially amplified with surgical trauma, necessitating thorough evaluation, preoperative planning, and expertise to minimize complications and maximize outcomes. Understanding angiosome anatomy and typical fracture patterns (and their variations) allows for design of surgical tactics that accomplish these goals.
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