Pilon fracture: Difference between revisions

No edit summary
Line 1: Line 1:
Ankle
==Background==
*axial loading injury


axial loading injury-suspect other Fx as well (calcaneal,talar dome, tibial plateau, femoral neck,acetabular,L spine)
==Diagnosis==
 
*suspect other Fx as well
-watch for compartment syndrome
**calcaneal,talar dome, tibial plateau, femoral neck,acetabular,L spine
 
bad Fracture common to have poor outcomes
 
-up to 10-55% complication rate
 
-non-union rates from 25 up to 100% with severe Fx
 
-malunion rates up to 42% in some series.
 
-post-traumatic arthritis extremely common.


watch for compartment syndrome!


==Prognosis==
*common to have poor outcomes
**up to 10-55% complication rate
*non-union rates from 25 up to 100% with severe Fx
*malunion rates up to 42% in some series
*post-traumatic arthritis extremely common.


==See Also==
*[[Ankle Fracture]]
*[[Ankle Fracture (Peds)]]
*[[Ankle Sprain]]
*[[Maisonneuve]]
*[[Ottowa Ankle Rules]]


[[Category:Ortho]]
[[Category:Ortho]]

Revision as of 18:17, 4 July 2011

Background

  • axial loading injury

Diagnosis

  • suspect other Fx as well
    • calcaneal,talar dome, tibial plateau, femoral neck,acetabular,L spine

watch for compartment syndrome!

Prognosis

  • common to have poor outcomes
    • up to 10-55% complication rate
  • non-union rates from 25 up to 100% with severe Fx
  • malunion rates up to 42% in some series
  • post-traumatic arthritis extremely common.

See Also