Management of high-energy tibial pilon fractures

Tibial pilon fractures result from high-energy trauma unlike usual ankle fractures. Their management provides numerous challenges to the orthopaedic surgeon including obtaining anatomic reduction of articular surface and the management of associated soft tissue injuries. This article aims to review...

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Detalles Bibliográficos
Autores principales: Jacob, Nebu, Amin, Amit, Giotakis, Nikolaos, Narayan, Badri, Nayagam, Selvadurai, Trompeter, Alex J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Milan 2015
Materias:
Review
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4666229/
https://www.ncbi.nlm.nih.gov/pubmed/26407690
http://dx.doi.org/10.1007/s11751-015-0231-5
Descripción
Sumario:Tibial pilon fractures result from high-energy trauma unlike usual ankle fractures. Their management provides numerous challenges to the orthopaedic surgeon including obtaining anatomic reduction of articular surface and the management of associated soft tissue injuries. This article aims to review major advances and principles that guide our practice today. We also discuss a treatment algorithm based on a staged approach to the fracture: initial spanning external fixation followed by definitive fixation.

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