Abstract
The article explores a case of a 28-year-old woman who sustained a closed comminuted pilon fracture with a segmental fibula fracture after a horse-riding accident. Treatment consisted of Open Reduction and Internal Fixation (ORIF) using a minimally invasive image guided technique with distraction arthroplasty to promote cartilage healing and PRP injections. The patient’s initial recovery was complicated by persistent pain and nerve compression. X-rays showed bony union after a year. Within this time the ankle’s range of motion had improved from the initial surgery (60% compared to the other ankle). Ultimately, she was able to return to work, although can competitively horse ride again with some limitations. Overall, the combination of ORIF and distraction arthroplasty for this comminuted fracture is a safe and effective treatment with successful outcomes currently. We believe this case highlights principles to be used in joint regenerative surgery.
Publisher
Athenaeum Scientific Publishers
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