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Bipolar avulsion Pilon ? PILON TIBIAL Dr. J.M. S. Harding, W. Delong, K. Graf 34:32. Méndez López. Pilon fractures are rare in children and elderly people. 3 Incidence. No public clipboards found for this slide. Most of the time, it involves breaks in both the tibia and fibula of the lower leg. Classification. 1-10% of LE fx’s . 6. Luk (2013) compared pilon fracture types in patients with and without an intact fibula. Ruedi and Allgower. Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Pilon Fracture PPT (C) Limited anterolateral exposure to reduce articular impaction is shown. Axial load. The … Associated skin complications are frequent as those of surgery of this pattern. View and Download PowerPoint Presentations on Tibial Plafond Pilon Fractures PPT. CT is almost always required for operative planning. Often significant other injuries. Type I: Intra-articular fracture of the distal tibia without significant displacement Type II: Intra-articular fracture of the distal tibia with significant displacement but minimal comminution Type III: Fracture of distal tibia with severe comminution and significant intra-articular displacement. Garry W. K. Ho, M.D. [] Pilon fractures account for approximately 7% of tibial fractures. Of the patients without soft tissue lesions, 86.4% had good to excellent subjective results and … A pilon fracture is a type of distal tibial fracture involving the tibial plafond. Seno 1997. Thus we performed external fixation as treatment for these fractures. Occurs in 12-14 year olds. 7 Months Post Op and 3 Months of “Walking”, An Update; Ankle dorsiflexion limited after 6 months post injury at 2 degrees. A pilon fracture occurs when the bone breaks at the bottom of the shinbone (tibia), close to your ankle. Reduce Principles of Reduction. Pilon fractures are most often caused by high-energy impacts, such as: Fall from height Motor vehicle/motorcycle collisions Skiing Risk Factors Age. We present a series of 15 cases diagnosed with tibial pilon fractures as classified by … Orthopedic consultation. A pilon fracture is an intraarticular fracture of the distal tibia. Find PowerPoint Presentations and Slides using the power of XPowerPoint.com, find free presentations research about Tibial Plafond Pilon Fractures PPT ... a two- fragment and a three- fragment triplanar fracture. Clipping is a handy way to collect important slides you want to go back to later. Mechanism. The posterior pilon variant fracture pattern is an increasingly recognized fracture morphology characterized by posteromedial extension of the fracture of the posterior rim of the tibia including a portion of the medial malleolus with varying amounts of articular impaction of the tibial plafond. Axial load. Pilon Fractures • Approaches & Technique – Beyond this scope – Anteromedial, anterolateral, posterior, anterior, perc, MIPO, percwith IMN, ringed fixation, etc. So lets leave the timeline for a moment, with the management of pilon fractures in apparently rude health, to briefly review the classifications that we will require when we go on to look at results in more detail. Fractures of the distal tibial plafond are also termed pilon fractures to describe the high energy axial compression force of the tibia as it acts as a pestle, driving vertically into the talus. These fractures make up 5% to 7% of all tibial fractures. Looks like you’ve clipped this slide to already. Tips/Tricks for Lower Extremity Trauma Feat. 1-10% of LE fx’s . E. (A) Radiograph of a patient with a pilon fracture with severe skeletal and soft tissue injury who was treated emergently with traveling traction. University of California at Davis Medical Center . Proximal limit of tibial pilon: 8-10 cm from the ankle articular surface. A pilon fracture involves the distal tibial metaphysis with extension… The distal tibial articular surface always serious shattered, bone defect and remote cancellous bone compression. I have very little range of motion. Spectrum of injuries: 1) Low energy rotational fx’s Ankle type fractures / Skiing, simple falls . Commonly, the fibula bone in the ankle is broken as well. Treatment. Pilon fractures may be considered high-energy ankle fractures. Philadelphia Orthopaedic Trauma Symposium. Dr Imran Jan. HOME; LOCATIONS. Position of foot determines injury. Fractures of the distal tibial plafond are also termed pilon fractures to describe the high energy axial compression force of the tibia as it acts as a pestle, driving vertically into the talus. Fracture of distal tibial metaphysis. If you have a pilon fracture, you might have bruising, deformity, swelling, or pain. Pilon is a French word for pestle, an instrument used for crushing or pounding. A pilon fracture is a medical emergency that requires urgent treatment. Accurate reduction of the posterior fragment, especially the proximal displacement and rotation, can be difficult through anteriorly placed approaches. Type I – cleavage fracture of distal tibia without major displacement of … This was accomplished at the Dupuytren Institute, from May 1988 to December 1994. Classificatie. If you continue browsing the site, you agree to the use of cookies on this website. Gómez Fernández Dr. J.M. Orthopedic consultation. Mechanism. Pilon fracture surgery usually is done in two steps to protect the skin and soft tissue. multifragmentair complex If you continue browsing the site, you agree to the use of cookies on this website. Fracture of distal tibial metaphysis. Looks like you’ve clipped this slide to already. Ankle fracture, Maissoneuve fracture, Lateral malleolus, Medial malleolus, Posterior malleolus, Ottawa Ankle Rules, Mortise, Syndesmosis, Tibial plafond, Bimalleolar fracture, Trimalleolar fracture, Pilon fracture. Pilon骨折ppt演示课件_基础医学_医药卫生_专业资料。Pilon骨折 . The approach is selected based on fracture location and type. 4,18 The term pilon fracture was first used in 1911 by Destot, who likened the distal tibia to a pestle. The minimally invasive approaches (Minimally Invasive Plate Osteosynthesis, MIPO) are indicated primarily for extraarticular fractures (AO/OTA 43-A, which are not pilon fractures), or distal tibia fractures with a simple split into the articular surface (AO/OTA 43-C1). Methods Pilon fracture patients with intact fibula treated in our hospital from January 2010 to December 2014 were observed. Las Trojas Cantina. Rommens et al 17 agreed with these findings in their study of 81 pilon fractures and found that the relationship between the fracture type and soft tissue injury was significant. Slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. A postgraduate level powerpoint presentation on ankle fractures. Philadelphia Orthopaedic Trauma Symposium. Ankle imaging is usually satisfactory, but obtain imaging of the shaft/knee if you suspect more proximal injury as well. Pilon Fractures Philip Wolinsky . A pilon fracture should not be confused with a broken ankle , as it is just above the ankle joint. These are considered to represent 1-10% of all lower limb fractures 6. VCU / Fairfax Family Practice Sports Medicine Fellow September 2006. Severity of the vault or ceiling of the lower leg ) breaks as.. To treat distal tibial injury break of the ankle joint treatment, patients sustaining high-energy pilon ranges... 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