Management of Distal Tibial Pilon Fracture with MIPPO

Abstract

Variations in the arterial pattern of the upper limb are very common as observed in many cadaveric and angiographic studies. Knowledge of variations in the origin and course of the radial artery is important because they are used for many diagnostic procedures as well as vascular and reconstructive surgeries like coronary angiography, percutaneous coronary intervention and coronary artery bypass surgery. During routine dissection in our institute, we observed a case of high origin of the radial artery in a 33 year old male cadaver. It was found to be unilateral; on left side, radial artery was taking origin from 3 rd part of the axillary artery at the lower border of pectoralis minor before the origin of subscapular artery and anterior circumflex humeral artery. It had a superficial course in the arm crossing the median nerve from medial to lateral side. The further course of this superficial radial artery in the forearm was normal and it terminated by forming a deep Palmar arch in hand. These variations may be of great clinical implications for vascular and plastic surgeons and radiologists. Superficial course of radial artery makes it vulnerable to accidental injuries.

Functional outcome of tibial pilon fractures treated with minimally invasive plate osteosynthesis in adults

“…Unlike Shrestha et al, we used an anatomically prebent plate to achieve stronger fixation in the metaphyseal region by allowing the insertion of 2 or 3 cancellous screws in the small distal segment [12] . As compared with studies by Baris A et al and Gopisetty Chaitanya Kishore et al, the median age of patients was 45.3 years and 47 years, which was comparable with the age of patients in our study [13][14] .…”