Author:
Mafi Pouya,Stanley James,Hindocha Sandip,Mafi Reza
Abstract
Pilon fractures are complex and difficult-to-treat fractures of the lower extremity that account for about 1% of all lower extremity fractures and up to 10% of tibial fractures. The injury is caused by high energy axial load either from motor vehicle accidents or a fall from height. The treatment of these fractures has caused controversy among surgeons due to mixed outcomes. Here we report a case of pilon fracture in a 45 year old male patient who has sustained the injury as a result of a fall from a height of approximately 12 feet. We describe why it is absolutely crucial that the patient is treated with external fixation initially and evaluate its merits and drawbacks as well as ways to minimize the complications associated with external fixation of open intra-articular distal tibial fractures.
Publisher
Bentham Science Publishers Ltd.
Reference10 articles.
1. Kellam JF, Waddell JP.
Fractures of the distal tibial metaphysic with intra-articular extension-the distal tibial explosion fracture.
J Trauma
1979;
19
: 593-601.
2. Ruedi TP, Allgower M.
The operative treatment of intraarticular fractures of the lower end of the tibia.
Clin Orthop Relat Res
1979;
138
: 105-10.
3. Destot E.
Traumatismes du pied et rayons X malleoles, astragale, calcaneum avantpied [in French].
Paris7 Mason
1911;
1-10.
4. Marsh JL, Saltzman CL.
Ankle fractures.Rockwood and Green's fractures in adults In: Buholz RW, Heckman JD, Eds.
Philadelphia: Lippincott Williams and Wilkins 2001; pp.
2051-78.
5. Burgess AR, Dischinger PC, O'Quinn TD , et al.
Lower extremity injuries in drivers of airbag-equipped automobiles clinical and crash reconstruction correlations.
J Trauma
1995;
38
: 509-16.
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献