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    Management of Tibial Pilon Fractures Using Various Modalities of Treatment

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    Navin Chandar
    This document discusses the management of tibial pilon fractures using various treatment modalities. It presents a study of 10 patients between the ages of 20-64 who suffered distal tibial fractures. The fractures were treated using either internal fixation or external fixation. Union was achieved in all cases between 12-16 weeks. Anatomical reduction with good alignment was achieved in about 8 cases. The conclusion is that tibial pilon fractures are difficult to treat due to articular cartilage injury, metaphyseal comminution and soft tissue damage. Respecting the soft tissues is important to minimize complications. Internal or external fixation can be considered reliable depending on the condition of the soft tissues. Good functional outcomes depend on reasonable anatomical reduction of the

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    Management of Tibial Pilon Fractures Using Various Modalities of Treatment

    Uploaded by

    Navin Chandar
    51 views2 pages
    This document discusses the management of tibial pilon fractures using various treatment modalities. It presents a study of 10 patients between the ages of 20-64 who suffered distal tibial fractures. The fractures were treated using either internal fixation or external fixation. Union was achieved in all cases between 12-16 weeks. Anatomical reduction with good alignment was achieved in about 8 cases. The conclusion is that tibial pilon fractures are difficult to treat due to articular cartilage injury, metaphyseal comminution and soft tissue damage. Respecting the soft tissues is important to minimize complications. Internal or external fixation can be considered reliable depending on the condition of the soft tissues. Good functional outcomes depend on reasonable anatomical reduction of the

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    This document discusses the management of tibial pilon fractures using various treatment modalities. It presents a study of 10 patients between the ages of 20-64 who suffered distal tibial fractures. The fractures were treated using either internal fixation or external fixation. Union was achieved in all cases between 12-16 weeks. Anatomical reduction with good alignment was achieved in about 8 cases. The conclusion is that tibial pilon fractures are difficult to treat due to articular cartilage injury, metaphyseal comminution and soft tissue damage. Respecting the soft tissues is important to minimize complications. Internal or external fixation can be considered reliable depending on the condition of the soft tissues. Good functional outcomes depend on reasonable anatomical reduction of the

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    51 views2 pages

    Management of Tibial Pilon Fractures Using Various Modalities of Treatment

    Uploaded by

    Navin Chandar
    This document discusses the management of tibial pilon fractures using various treatment modalities. It presents a study of 10 patients between the ages of 20-64 who suffered distal tibial fractures. The fractures were treated using either internal fixation or external fixation. Union was achieved in all cases between 12-16 weeks. Anatomical reduction with good alignment was achieved in about 8 cases. The conclusion is that tibial pilon fractures are difficult to treat due to articular cartilage injury, metaphyseal comminution and soft tissue damage. Respecting the soft tissues is important to minimize complications. Internal or external fixation can be considered reliable depending on the condition of the soft tissues. Good functional outcomes depend on reasonable anatomical reduction of the

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    MANAGEMENT OF TIBIAL PILON

    FRACTURES USING VARIOUS


    MODALITIES OF TREATMENT.
    I.Prabhu S 2.Dr.Neelakrishnan.3.Dr.Barathiselvan
    4.Dr.Parasuram
    1 M.S Ortho- Postgraduate student, Department
    of Orthopaedics, Rajah Muthiah Medical
    Collegeand Hospital, Annamalai University,
    Tamilnadu, India
    2 Professor of Orthopaedics, Rajah Muthiah
    Medical College andHospital, Annamalai
    University, Tamilnadu, India
    3 Lecturer, Department of Orthopaedics, Rajah
    Muthiah Medical College and Hospital,Annamalai
    University, Tamilnadu, India
    4 Lecturer, Department of Orthopaedics, Rajah
    Muthiah Medical College and Hospital,Annamalai
    University, Tamilnadu, India

    ABSTRACT:
    AIM : Fracture of distal tibia can be challenging to treat
    because of limited soft tissue, the subcutaneous location
    and poor vascularity. It is a controversial subject despite
    advances in both non- operative and operative care. The
    goal is to realign the fracture, realign limb length and early
    functional recovery. The aim of our study is management
    of high energy tibial pilon fracture with various modalities
    of treatment
    MATERIALS AND METHODS : study conducted over a period
    of 1 yr
    from october 2018 to August 2019 after ethical committee
    approval. Patient in age group of > 18 yrs with distal tibial
    fracture of Ruedi and Allgower type - l, ll, lll were included in
    this study. patients associated with vascular and neurology
    injury were excluded. Functional results were analysed.
    RESULTS:

    The total number of patients included in this study was 10


    with age range between 20-64 with a mean age of 32.8 yrs.
    We had a minimum follow up of 1 yr and maximum follow up
    of 2 yrs. Union was achieved in all cases between 12-16 wks.
    The mean duration from hospital admission to definite surgery
    was around 10-14 days. Anatomical reduction was achieved
    in about 8 cases with good alignment.
    CONCLUSION :Tibial pilon fractures are complex injury that are
    difficult to treat. The combination of articular cartilage injury,
    Metaphyseal Comminution and soft tissue insult has often
    resulted in poor outcomes. Respect for the soft tissue
    envelope is the first step in minimizing complications. Internal
    fixation can be considered as a reliable modality of
    management of distal tibial fracture and it has to be done
    either within 24 hrs of injury before the edema sets in or a
    delay of 8 to 12 days for the edema to settle down and the
    wrinkle sign appear, for such cases, external application is
    preferable. Respect the soft tissues, do not Operate too early
    or through compromised skin, instead wait till the soft tissues
    is amenable fot surgery. Good functional result depends on
    reasonable anatomical reduction of the articular surface
    either by direct or indirect methods.

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