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Management of a Pilon Fracture Complicated by a Bent Plate in Situ with Nonoperative Correction: A Case Report
Conner Roggy1,2, Emily Benson2,3
1Community Memorial Healthcare, Community Memorial Hospital, Ventura, California.
Case:
Hardware complications in the perioperative period of a pilon fracture open reduction internal fixation or fusion procedure present a unique challenge. Revision of hardware can lead to additional complications. In this case report, we share a technique of in situ plate bending to manage damaged hardware in a patient who underwent a primary tibiotalar arthrodesis for a pilon fracture.
Conclusion:
Preoperative planning, protection of the soft tissue envelope, and use of the "F" tool are keys to the success of this treatment method. Proper technique allows for a noninvasive method for correcting hardware failure and avoiding further complications.
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