![]() ![]() Please see our publication on tibia fractures and ankle fractures. The HSS Orthopedic Trauma Service has conducted many studies. Radiographs at 5 months following the index surgery reveal a healed pilon fracture in excellent alignment He returned for follow-up visits at regular intervals and at 5 months following the index surgery radiographs revealed a healed distal tibial pilon fracture in good alignment and he reported resolution of pain and return to pre-injury activities.Īnteroposterior and lateral radiographs illustrating a right-sided displaced distal tibial pilon fracture with extensive articular comminution and associated displaced fibula fracture and ( right images) fluoroscopic and a nteroposterior x-ray following placement of external fixation and ORIF of the fibula fracture.ĬT scan images further delineating the fracture pattern and pre-operative surgical plan. ORIF of the pilon fracture was performed at 3 weeks following resolution of the soft tissue swelling and the fracture was reduced and fixed an 2 locking plates and screws were placed laterally and anteriorly. Patients often present with considerably comminuted fracture patterns and notable soft-tissue compromise. A spanning external fixator was placed for initial treatment followed by Open Reduction and Internal Fixation (ORIF) of his fibula fracture with placement of a 7-hole locking plate to achieve restoration of length. Fractures of the distal tibial plafond (ie, pilon) comprise a broad range of injury mechanisms, patient demographics, and soft-tissue and osseous lesions. The fracture involves the larger bone of the lower leg (tibia), and extends into the weight bearing surface of the ankle joint. Radiographs revealed a right-sided displaced distal tibial pilon fracture with extensive articular comminution and associated displaced fibula fracture with significant soft tissue swelling. A Pilon fracture is a severe injury involving the ankle joint. He was taken to our affiliated Emergency Department at NewYork-Presbyterian Hospital, and placed under the care of Dr. High-energy injuries, older age, and poor reduction quality are also related to worse clinical outcomes.A 42-year-old male slipped and fell approximately 14 feet while working on a ladder onto his right lower extremity. Increased initial fracture area is correlated with poor clinical functional results. Methods: This clinical trial that was performed in 2017-2021 in Isfahan on 27 patients with pilon. In this paper, we aimed to evaluate the complications of the use of low profile plates for pilon fractures. 001 for each).Ĭonclusions: Preoperative fracture area measurement has a major effect on healing of tibia pilon fractures. Background: Treatments of pilon fracture is an important operative challenge due to high prevalence of post-operative complications. Symptoms Symptoms of a medial malleolus fracture can include: immediate severe pain swelling around the ankle. ![]() Preoperative fracture area, measured on both the anteroposterior and the lateral views, are significantly related to both Ovadia-Beals Score and Maryland Foot Score ( P <. These fractures often occur in sports involving a sudden change of direction. Age, injury mechanism, and reduction quality have a significant relationship with Maryland Foot Score ( P <. Results: With an average follow-up period of 29.2 months (range, 24–40 months), 34 patients (85%) had excellent or good results, whereas only two patients (5%) had poor clinical results. To evaluate the objective quantity of initial fracture crack width and displacement, a new parameter was defined: “fracture area.” All measurements were conducted using a feature from the picture archiving and communication system on anteroposterior and lateral radiographs taken separately in standard fashion. The demographic data of the patients, injury mechanisms, fracture type, reduction quality, clinical results, and postoperative complications were recorded. Methods: In this retrospective cohort study, 40 patients with Arbeitsgemeinschaft für Osteosynthesefragen and Orthopaedic Trauma Association type 43B and 43C tibia pilon fractures and operated on through the extensile anteromedial approach were analyzed. In some cases, you may even pass out from the pain. It may become worse when you move or touch the injured area. Our objective was to investigate the effect of initial fracture crack width and displacement degree on clinical functional results in tibia pilon fractures. Most fractures are accompanied by intense pain when the initial injury occurs. Although many factors such as reduction quality and soft-tissue coverage have been identified, researchers continue to investigate the factors that affect healing in tibia pilon fractures. Background: Tibia pilon fractures are associated with high complication rates, decreased quality of life, and low patient satisfaction.
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