ISSN: 2044-9038 (Print) 2044-9046 (Electronic)

Clinical Practice

The Tibial Pilon Fractures

A tibial pilon fracture is a fracture that has occurred at the extremities of the tibia, which involves the ankle joint. Such pilon fractures are due to rotational or axial forces which are consistent with a fall from a motor vehicle or a fall from a height. Only 3 to 10 % of fractures are of this type are generally rare. This type of fracture involves a majority of the load bearing part of the tibia at the ankle joint. Due to this fact these fractures are complicated to treat and are have high rate of further complications with low success rate of the outcome. Due to the involvement of both soft tissue damage and the complex fracture pattern the treatment of these fractures is a challenge. The strategy of treatment will involve both internal and external fixation as well as a staged process to reconstruct the bone and cause minimal damage to the soft tissues. Wound management is also very crucial in such fracture injury as there is a high possibility of would infection complications. Tibial pilon fracture are so complicated for treatment even for highly skilled orthopedic surgeons. With latest improvement in surgical techniques, decline in infection complications ,implant development the result of treatment have greatly improved but the overall prognosis of this type of fracture is poor.

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