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Fractures of the tibial pilon
J W Mast1, P G Spiegel, J N Pappas
1University of South Florida, College of Medicine, Dept. of Orthopaedic Surgery, Tampa 33612.
Clinical Orthopaedics and Related Research
|May 1, 1988
Summary
Tibial pilon fractures, severe injuries from high-energy impacts, require careful surgical management. Understanding ankle anatomy and fixation principles can lead to good outcomes in about 75% of cases.
Area of Science:
- Orthopedic surgery
- Trauma surgery
- Anatomy
Background:
- Tibial pilon fractures are severe injuries resulting from high-energy compression.
- These fractures often involve comminution and impaction of the distal tibia's weight-bearing surface.
- Ankle joint fractures with torsional forces have a better prognosis than pure compression injuries.
Purpose of the Study:
- To outline the challenges and management principles for tibial pilon fractures.
- To emphasize the importance of anatomical understanding and surgical technique.
- To report on the potential outcomes of operative management.
Main Methods:
- Review of tibial pilon fracture characteristics and management.
- Emphasis on operative reduction and stable internal fixation.
- Highlighting the necessity of anatomical knowledge and atraumatic surgical technique.
Main Results:
- Satisfactory outcomes achieved in approximately 75% of cases with operative management.
- Successful treatment hinges on a thorough understanding of ankle anatomy.
- Adherence to principles of stable internal fixation is crucial.
Conclusions:
- Tibial pilon fractures are complex and demand precise surgical intervention.
- A systematic approach combining anatomical knowledge and surgical skill improves patient outcomes.
- Effective management can restore function in a majority of patients.