Fractures of the tibial plafond.

Course of treatment and rate of successful salvage following the diagnosis of deep infection in patients treated for pilon fractures (AO/OTA: 43)

“…6e12 Ovadia et al reported infection in 6% (9/145) of patients with pilon fractures and 3 of them subsequently had below-knee amputation. 10 Wyrsch et al reported a 37% (7/19) risk of infection with three of those patients ultimately receiving a below-knee amputation, resulting in an amputation rate of 16% (3/19). 13 Guidelines for treatment of these complications have not been established, and currently there exists wide variation in management.…”

Instability Dependency of Osteoarthritis Development in a Rabbit Model of Graded Anterior Cruciate Ligament Transection

“…However, even after functionally successful anterior cruciate ligament (ACL) reconstruction, 50% to >80% of injured knees have radiographic osteoarthritis at the time of follow-up at nine years or more [15][16][17] . In the ankle, clinical series of tibial plafond fractures have shown that more than half of patients treated by surgical reconstruction of the joint develop posttraumatic osteoarthritis, often within two years of injury [18][19][20][21] . The pathogenesis of posttraumatic osteoarthritis is multifactorial, with various confounding factors.…”

Operative outcome of high energy pilon fractures: a retrospective comparison between internal fixation and Ilizarov external fixation

“…Vertical or axial compression injuries are most commonly implicated in causing these fractures; apart from that rotational trauma to the distal tibia can also lead to fractures in the tibial pilon. 1 Historically the results of these injuries are plagued with devastating complication like skin and soft tissue dehiscence, bone loss, infection, osteomyelitis and post traumatic arthritis. [2][3][4] largely because of insufficient evidence.…”