Pilon fracture management
- enisguryel
- Sep 20, 2020
- 1 min read
Pilon or tibial Plafond fracture is an intra-articular fracture of the tibiotalar joint with varying degrees of proximal extension into the tibial metaphysis. They represent less than 5% of all lower extremity fractures and less than 10% of all tibial fractures. High-energy axial force is the usual mechanism of injury which also produces severe soft-tissue damage. The main problem with such fractures is the extensive damage to the thin soft tissue envelope, degree of comminution, malunion and non-union. This is due to fact that the vascularity of the soft tissue sleeve of the distal tibia is tenuous. Various methods have been introduced for the treatment of such fractures such as open reduction internal fixation (ORIF) with plate osteosynthesis, external fixation or primary arthrodesis of the ankle joint. A great deal of controversy still exists as to the optimal management of such injuries. In this retrospective study, we aim to present our experience from a tertiary level one trauma centre on these relatively uncommon fractures.



This retrospective study offers a compelling look into the nuanced management of Pilon fractures—especially the challenges posed by soft tissue vascularity and the evolving treatment approaches. Just as orthopedic care demands precision and adaptability, effective corporate training and strategic Consulting empower organizations to navigate complexity with clarity and resilience. If you're looking to strengthen your team’s decision-making and performance, click to read how we support purposeful development through tailored learning strategies.
This post offers a clear and insightful breakdown of the complexities involved in managing Pilon fractures—especially the challenges posed by soft tissue damage and comminution. Just as successful fracture management requires careful planning and structural integrity, thoughtful Home Renovation and expert remodeling demand a deep understanding of both form and function. If you're looking to rebuild with resilience and purpose, click for more info on how we bring craftsmanship and care to every project.
Pilon fractures present a unique challenge due to their complexity and the delicate soft tissue environment—this retrospective insight is incredibly valuable for advancing treatment strategies. For healthcare professionals and patients managing recovery, Coupon Mama offers exclusive discount deals on orthopedic supports, wellness products, and more. Explore Coupon Mama and support your healing journey with savings that make a difference.