Pilon fracture: Difference between revisions

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==Background==
==Background==
*axial loading injury
*Axial loading injury that drives tibial plafond into talar dome
**"Pilon" is another word for pestle, a tool used to grind substance in a mortar
*Also known as a tibial plafond fracture


==Diagnosis==
==Diagnosis==
*suspect other Fx as well
*Suspect other fractures as well:
**calcaneal,talar dome, tibial plateau, femoral neck,acetabular,L spine
**Lumbar spine (esp L1), calcaneus, talar dome, tibial plateau, femoral neck, acetabulum,
*Watch for compartment syndrome


watch for compartment syndrome!
==Imaging==
 
*CT necessary to reveal amount of articular surface displacement/develop treatment plan
==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==
==See Also==
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*[[Maisonneuve]]
*[[Maisonneuve]]
*[[Ottowa Ankle Rules]]
*[[Ottowa Ankle Rules]]
==Source==
*Tintinalli


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

Revision as of 21:23, 13 February 2012

Background

  • Axial loading injury that drives tibial plafond into talar dome
    • "Pilon" is another word for pestle, a tool used to grind substance in a mortar
  • Also known as a tibial plafond fracture

Diagnosis

  • Suspect other fractures as well:
    • Lumbar spine (esp L1), calcaneus, talar dome, tibial plateau, femoral neck, acetabulum,
  • Watch for compartment syndrome

Imaging

  • CT necessary to reveal amount of articular surface displacement/develop treatment plan

See Also

Source

  • Tintinalli