Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

3.3K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.3K
Flail Chest-II01:26

Flail Chest-II

203
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
203
Flail Chest-I01:24

Flail Chest-I

217
Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
217
Plastic Deformations of Members with a Single Plane of Symmetry01:21

Plastic Deformations of Members with a Single Plane of Symmetry

110
When a structural member undergoes plastic deformation due to bending, it is crucial to understand the position of the neutral axis and the stress distribution. This member, characterized by a single plane of symmetry, exhibits a uniform stress distribution, with negative stress above the neutral axis and positive stress below. Notably, the neutral axis does not align with the centroid of the cross-section. This misalignment is typical in cases where the cross-section is not rectangular or...
110
Bones of the Upper Limb: Radius01:09

Bones of the Upper Limb: Radius

2.3K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
2.3K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Intraoperative Versus Postoperative Correction of Vascular Compromise: Comparison of Flap and Patient Outcomes in Free Flap Breast Reconstruction.

Journal of reconstructive microsurgery·2026
Same author

Clinical Outcomes Following Open Tibial Fractures in Latin America: A Multicenter Prospective Study.

The Journal of bone and joint surgery. American volume·2026
Same author

General and Behavioral Health Screening Under EPSDT for Adolescents in New York Medicaid Managed Care.

JAMA network open·2026
Same author

Management preferences for hip fracture care in Latin America.

OTA international : the open access journal of orthopaedic trauma·2026
Same author

Sage Advice for Residency, Fellowship, and Beyond.

Instructional course lectures·2025
Same author

Demystifying Traditional Bonesetting: Lessons from Mbarara Regional Hospital.

The Journal of bone and joint surgery. American volume·2025
Same journal

Interpret with caution: randomized controlled trials comparing cemented versus press-fit hemiarthroplasty in geriatric patients with intracapsular hip fractures are statistically fragile.

OTA international : the open access journal of orthopaedic trauma·2026
Same journal

Risk factors for revision amputation and infection after definitive closure of traumatic amputations: a retrospective cohort study at a Level I academic trauma center.

OTA international : the open access journal of orthopaedic trauma·2026
Same journal

Efficacy and limitations of a web-based native adult knee septic arthritis calculator in urban trauma care.

OTA international : the open access journal of orthopaedic trauma·2026
Same journal

What is the desired screw trajectory for fixation of noncontiguous posterior distal articular fractures associated with distal tibial shaft fractures?

OTA international : the open access journal of orthopaedic trauma·2026
Same journal

Fear of reinjury is associated with failure to return to preinjury level of activity after operative repair of ankle fractures.

OTA international : the open access journal of orthopaedic trauma·2026
Same journal

Pelvis and lower extremity fractures related to 4-wheeled off-road vehicles: trends from the national electronic injury surveillance system database.

OTA international : the open access journal of orthopaedic trauma·2026
See all related articles

Related Experiment Video

Updated: Jul 20, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

470

Pilon fractures: Consensus and controversy.

Michael Flores1, Matthew Ciminero1, Stephen A Kottmeier2

  • 1University of California, San Francisco, Department of Orthopaedic Surgery, San Francisco, CA.

OTA International : the Open Access Journal of Orthopaedic Trauma
|August 3, 2023
PubMed
Summary
This summary is machine-generated.

Pilon fractures require individualized treatment. Staged open reduction internal fixation is the gold standard, but other methods like primary ankle arthrodesis may be suitable for severe cases.

Keywords:
ankle fracturepilon fracturetibial plafond

More Related Videos

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
06:59

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

Published on: August 14, 2018

13.5K
Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
07:35

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

18.4K

Related Experiment Videos

Last Updated: Jul 20, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

470
Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents
06:59

Fracture Apparatus Design and Protocol Optimization for Closed-stabilized Fractures in Rodents

Published on: August 14, 2018

13.5K
Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
07:35

Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects

Published on: April 11, 2012

18.4K

Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Pilon fractures are complex lower extremity injuries.
  • Effective management is crucial for optimal patient outcomes and minimizing complications.

Purpose of the Study:

  • To outline the current gold standard and alternative treatment strategies for pilon fractures.
  • To emphasize the importance of individualized treatment planning.

Main Methods:

  • Review of current literature and established surgical protocols for pilon fracture management.
  • Emphasis on preoperative planning using computed tomography (CT) to guide surgical approach.
  • Discussion of staged open reduction internal fixation (ORIF) as the primary treatment.

Main Results:

  • Staged ORIF is the gold standard for achieving anatomic reduction and minimizing complications.
  • Preoperative CT imaging is essential for surgical planning and approach selection.
  • Early ORIF may be suitable for specific fracture patterns.
  • Primary ankle arthrodesis is a viable alternative for highly comminuted fractures unsuitable for reconstruction.

Conclusions:

  • An individualized, staged approach to pilon fracture treatment is recommended.
  • Open reduction internal fixation, guided by CT, is the preferred method.
  • Primary ankle arthrodesis serves as an important alternative in complex cases.