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A Systematic Review Of Primary Ankle Arthrodesis In The Treatment Of Pilon Fractures
P R M Nicholas1, R Carter2, P Chan2
1Department of Surgery, University Hospital Ayr, Ayr, United Kingdom.
Foot (Edinburgh, Scotland)
|May 7, 2021
Summary
Primary ankle arthrodesis shows promising fusion and low infection rates for severe pilon fractures. Further research is needed to confirm these findings in larger patient groups.
Area of Science:
- Orthopedic surgery
- Traumatology
- Skeletal reconstruction
Background:
- Pilon fractures are severe, comminuted distal tibia fractures often requiring complex management.
- Current treatment options include open reduction internal fixation (ORIF) and external fixation, with ankle arthrodesis typically reserved for later stages.
- The optimal timing and approach for managing pilon fractures remain subjects of debate.

