Tibial pilon fractures: Which method of treatment?

Comparison of different locking plate fixation methods in distal tibia fractures

“…In the literature, rate of those complications in patients with pilon type fracture is also high. Rate of infection varies depending on author from 5 to 37 % and rate bone union disorders often exceeds 20 % [5,[9][10][11].…”

“…It is now postulated that surgical treatment should be held in stages according to the rules of damage control orthopaedics. Moreover, development of implants with angular stability and less invasive stabilization techniques gives us hope of acquiring better mid-and long-term results [5][6][7].…”

External fixation versus open reduction and internal fixation of pilon fractures: A systematic review and meta-analysis

“…Sensitivity and subgroup analyses were conducted by pooling the events from the studies utilizing each technique separately. Heterogeneity was assessed using I 2 , where a value of >60% was considered significant. Publication bias was explored using funnel plot and the Egger test.…”

“…However, poor outcomes, due to associated soft-tissue complications with open reduction and internal fixation (ORIF), have led to the return of less aggressive surgical management of these fractures. [2] The importance of the soft-tissue envelope of the distal tibia and its role in both fracture healing and long-term outcomes have become better understood over the years. [3][4][5][6][7][8] Hence, various types of external fixators have been proposed as a definitive treatment instead of open reduction and plating to avoid further injury to the soft tissue.…”

Pilon kırıklarının komplikasyonları

“…Subtalar eklem ve midtarsal eklemlerdeki hareket, yetersiz stabilizasyon gösterilmiştir. [19] Kaynamama riskini azaltmak için, erken ya da geç dönemde greftleme önerilmektedir. Uzmanlar, geç greftleme için en uygun zamanın 4. ve 8. haftalar arasında olduğunu ileri sürmektedirler.…”