Advertisement

Arthroscopic treatment in split depression-type tibial pilon fracture

Abstract

Treatment of tibial pilon fractures is complicated and often very invasive. Partial fractures with a depressed component raise the question of the choice of surgical technique. Minimally invasive surgical reduction under arthroscopic guidance appears to be a promising alternative in this type of fracture. We describe a technique for arthroscopically assisted treatment of a split depression tibial pilon fracture.

This is a preview of subscription content, log in to check access.

Access options

Buy single article

Instant unlimited access to the full article PDF.

US$ 39.95

Price includes VAT for USA

Subscribe to journal

Immediate online access to all issues from 2019. Subscription will auto renew annually.

US$ 99

This is the net price. Taxes to be calculated in checkout.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

References

  1. 1.

    Tarkin IS, Clare MP, Marcantonio A, Pape HC (2008) An update on the management of high-energy pilon fractures. Injury 39:142–154. doi:10.1016/j.injury.2007.07.024

  2. 2.

    Teeny SM, Wiss DA (1993) Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clin Orthop 292:108–117

  3. 3.

    Atesok K, Doral MN, Whipple T, Mann G, Mei-Dan O, Atay OA, Beer Y, Lowe J, Soudry M, Schemitsch EH (2011) Arthroscopy-assisted fracture fixation. Knee Surg Sports Traumatol Arthrosc 19:320–329. doi:10.1007/s00167-010-1298-7

  4. 4.

    Chan Y-S (2011) Arthroscopy- assisted surgery for tibial plateau fractures. Chang Gung Med J 34:239–247

  5. 5.

    Kim HS, Jahng JS, Kim SS, Chun CH, Han HJ (1997) Treatment of tibial pilon fractures using ring fixators and arthroscopy. Clin Orthop 334:244–250

  6. 6.

    Cetik O, Cift H, Ari M, Comert B (2007) Arthroscopy-assisted combined external and internal fixation of a pilon fracture of the tibia. Hong Kong Med J 13:403–405

  7. 7.

    Kralinger F, Lutz M, Wambacher M, Smekal V, Golser K (2003) Arthroscopically assisted reconstruction and percutaneous screw fixation of a pilon tibial fracture. Arthrosc J Arthrosc Relat Surg 19:E45. doi:10.1053/jars.2003.50165

  8. 8.

    Poyanli O, Esenkaya İ, Ozkut AT, Akcal MA, Akan K, Unay K (2012) Minimally invasive reduction technique in split depression type tibial pilon fractures. J Foot Ankle Surg 51:254–257. doi:10.1053/j.jfas.2011.10.034

  9. 9.

    Rüedi TP, Allgöwer M (1979) The operative treatment of intra-articular fractures of the lower end of the tibia. Clin Orthop 138:105–110

  10. 10.

    Marmor L (1970) An unusual fracture of the tibial epiphysis. Clin Orthop 73:132–135

  11. 11.

    Bauer T, Abadie O, Hardy P (2006) Arthroscopic treatment of glenoid fractures. Arthrosc J Arthrosc Relat Surg 22(569):e1–e6. doi:10.1016/j.arthro.2006.01.003

  12. 12.

    Bonasia DE, Rossi R, Saltzman CL, Amendola A (2011) The role of arthroscopy in the management of fractures about the ankle. J Am Acad Orthop Surg 19:226–235

  13. 13.

    Thaunat M, Billot N, Bauer T, Hardy P (2007) Arthroscopic treatment of a juvenile tillaux fracture. Knee Surg Sports Traumatol Arthrosc 15:286–288. doi:10.1007/s00167-006-0234-3

  14. 14.

    Joveniaux P, Ohl X, Harisboure A, Berrichi A, Labatut L, Simon P, Mainard D, Vix N, Dehoux E (2010) Distal tibia fractures: management and complications of 101 cases. Int Orthop 34:583–588. doi:10.1007/s00264-009-0832-z

  15. 15.

    Lobenhoffer P, Schulze M, Gerich T, Lattermann C, Tscherne H (1999) Closed reduction/percutaneous fixation of tibial plateau fractures: arthroscopic versus fluoroscopic control of reduction. J Orthop Trauma 13:426–431

  16. 16.

    Barber FA, Britt BT, Ratliff HW, Sutker AN (1988) Arthroscopic surgery of the ankle. Orthop Rev 17:446–451

  17. 17.

    Ruch DS, Vallee J, Poehling GG, Smith BP, Kuzma GR (2004) Arthroscopic reduction versus fluoroscopic reduction in the management of intra-articular distal radius fractures. Arthrosc J Arthrosc Relat Surg 20:225–230. doi:10.1016/j.arthro.2004.01.010

  18. 18.

    De Leeuw PAJ, Golanó P, Clavero JA, van Dijk CN (2010) Anterior ankle arthroscopy, distraction or dorsiflexion? Knee Surg Sports Traumatol Arthrosc 18:594–600. doi:10.1007/s00167-010-1089-1

  19. 19.

    Kim DH, Rhim R, Li L, Martha J, Swaim BH, Banco RJ, Jenis LG, Tromanhauser SG (2009) Prospective study of iliac crest bone graft harvest site pain and morbidity. Spine J 9:886–892. doi:10.1016/j.spinee.2009.05.006

  20. 20.

    Lui TH, Chan WK, Chan KB (2006) The arthroscopic management of frozen ankle. Arthrosc J Arthrosc Relat Surg 22:283–286. doi:10.1016/j.arthro.2005.12.012

  21. 21.

    Bauer T, Breda R, Hardy P (2010) Anterior ankle bony impingement with joint motion loss: the arthroscopic resection option. Orthop Traumatol Surg Res 96:462–468. doi:10.1016/j.otsr.2010.01.008

  22. 22.

    Herzberg G (2010) Intra-articular fracture of the distal radius: arthroscopic-assisted reduction. J Hand Surg 35:1517–1519. doi:10.1016/j.jhsa.2010.06.009

Download references

Conflict of interest

The authors declare that they have no conflict of interests.

Author information

Correspondence to Guillaume Lonjon.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (MPG 7532 kb)

Supplementary material 1 (MPG 7532 kb)

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Lonjon, G., Delgrande, D., Solignac, N. et al. Arthroscopic treatment in split depression-type tibial pilon fracture. Eur J Orthop Surg Traumatol 25, 399–403 (2015). https://doi.org/10.1007/s00590-014-1492-2

Download citation

Keywords

  • Ankle
  • Arthroscopy
  • Tibial pilon
  • Trauma
  • Fracture