A Prospective Study on Functional Outcome of Internal Fixation of Tibial Pilon Fractures with Locking Plate using Minimally Invasive Plate Osteosynthesis Technique

Ballal, Arjun; Ravindranath, H.; Shetty, Sowmya; Mathias, Lawrence; Shetty, Vikram; Shetty, Asode Ananthram

doi:10.7860/jcdr/2016/15284.7013

Cited by 12 publications

(9 citation statements)

References 4 publications

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“…P ilon fractures account for approximately 1% to 10% of all tibial fractures and usually present with significant soft-tissue damage [9][10][11] . In young patients, closed tibial fractures are largely related to sports injuries or motor vehicle accidents 12 .…”

Section: Discussionmentioning

confidence: 99%

Anterior Compartment Neurovascular Bundle Entrapment in a Minimally Displaced Distal Tibial Fracture

Lachance

Shields

Ryan

2022

JBJS Case Connector

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Case:A 29-year-old woman presented with a low-energy, minimally displaced pilon fracture with progressive pain and paresthesias in the affected foot, ultimately requiring open reduction and internal fixation. Intraoperatively, the deep peroneal nerve and anterior tibial artery and vein were entrapped within the fracture. After freeing the bundle and fixing the fracture, the paresthesias improved and ultimately resolved.Conclusion:Injury to the anterior leg compartment neurovascular structures should be considered in low-energy, minimally displaced pilon fractures. In this instance, progressive neurologic symptoms not consistent with the radiographic findings indicated the patient for surgical exploration and fixation.

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Section: Discussionmentioning

confidence: 99%

Anterior Compartment Neurovascular Bundle Entrapment in a Minimally Displaced Distal Tibial Fracture

Lachance

Shields

Ryan

2022

JBJS Case Connector

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“…Subsequent descriptions of fractures of the tibial plafond adopted the term ''pilon'' to describe the explosive nature and axial compression mechanism of these injuries, in which the tibia acts as a pestle and is driven vertically into the talus [10,21,22]. Fractures of the tibial plafond commonly result from high-energy trauma with axial load, sometimes leading to severe bone loss and soft tissue injury [3,5,15]. They are relatively rare, accounting for 1% to 10% of lower leg or tibial fractures, but are substantial injuries that can result in persistent disability if not fixed properly.…”

Section: Historymentioning

confidence: 99%

Classifications in Brief: Rüedi-Allgöwer Classification of Tibial Plafond Fractures

Luo

Eady

Aneja

et al. 2017

Clinical Orthopaedics &Amp; Related Research

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“…It was then called a 'plafond,' which is French for 'ceiling', where the distal tibial articular surface is referred to as the ankle joint ceiling (Saad et al, 2019). It was estimated less than 10% of all lower limb fractures are caused by such fractures (Ballal et al, 2016;Busel et al, 2017;Ibrahim et al, 2021). Its incidence in men ranges from 57% to 65%, so it is commoner in males when in and severe soft tissue damage (Cole et al, 2013;Ballal et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

“…It was estimated less than 10% of all lower limb fractures are caused by such fractures (Ballal et al, 2016;Busel et al, 2017;Ibrahim et al, 2021). Its incidence in men ranges from 57% to 65%, so it is commoner in males when in and severe soft tissue damage (Cole et al, 2013;Ballal et al, 2016). Its occurrence is progressively increasing as a consequence of the expansion of industries across the globe, the popularity of athletic pursuits, the fall from altitude and the spike in traffic accidents (Gülabi et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

The pattern of pilon fractures in King Saud Medical City

Alshammari¹

2022

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Background: The pilon fracture is a fracture notable by the fact that it varies greatly in its intricacy. Despite being uncommon, pilon fractures are of interest to orthopedic surgeons because of the awkwardness of their treatment. For correct grading, classification and preoperative preparation, necessary radiographic images must always be undertaken. Aim: The study was designed to determine clinical as well as radiographic patterns of pilon fractures at our facility. Methods: The study included patients with tibial pilon fractures who presented to King Saud Medical City (September 2019 -August 2022). Fractures were categorized based on the AO classification method and Gustilo-Anderson classification. Results: Tibial pilon fractures occurred in 21 individuals, among them 23.8% of fractures were open, 14.2% of the individuals had Gustilo type II and the predominance (47.6%) belonged to AO type 43-B. Fracture grade and its relationship to fibula fracture both substantially impacted the AOFAS scoring rate (P=0.025 and P=0.019, respectively). Conclusion: When compared to other musculoskeletal injuries, tibial pilon fractures are still quite rare, but it is rising in incidence. Hence, specific orthopedic surgery units in Saudi Arabia dealing with lower tibial fractures are needed to cover a wider geographic area to categorize patients aiming to tailor appropriate management strategies that may positively affect its outcome.

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A Prospective Study on Functional Outcome of Internal Fixation of Tibial Pilon Fractures with Locking Plate using Minimally Invasive Plate Osteosynthesis Technique

Cited by 12 publications

References 4 publications

Anterior Compartment Neurovascular Bundle Entrapment in a Minimally Displaced Distal Tibial Fracture

Anterior Compartment Neurovascular Bundle Entrapment in a Minimally Displaced Distal Tibial Fracture

Classifications in Brief: Rüedi-Allgöwer Classification of Tibial Plafond Fractures

The pattern of pilon fractures in King Saud Medical City

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