Abstract
The meta-epiphyseal fractures of the distal tibia commonly called tibial pilon fractures seem to have one based frequency, about 1% of all lower limb fractures. They are mostly high-energy fractures that determine burst fractures with comminution and exposure of the fragments. Muller’s AO classification divides them into three types: A (extra-articular), \(B\) (partial articular), and \(C\) (articular complete). Gustilo’s classification divided fractures into three types, depending on the degree of exposure of the bone. The treatment of meta-epiphyseal open fractures of distal tibia provides for an initial time of debridement of the affected tissue and then a stabilization with external fixators, which may be permanent or followed by a second internal osteosynthesis.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
Bibliografia
Helfet DL, Kovak K, Pappas J et al. (1994) Intraarticular “pilon” fracture of the tibia. Clin Orthop 298:221–228
Bacon S, Smith WR, Morgan SJ et al. (2008) A retrospective analysis of comminuted intra-articular fractures of the tibial plafond: open reduction and internal fixation versus external Ilizarov fixation. Injury 39:196–202
Lauge-Hanse N (1953) Fractures of the ankle. V. Pronation-dorsiflexion fracture. AMA Arch Surg 67:813–820
Kellam JF, Waddel JP (1979) Fractures of the tibial metaphysis with intra-articular extension; the distal tibial explosion fracture. J Trauma 19:593–601
Muller ME, Allgöwer M, Schneider R et al. (1191) Manual of internal fixation, 3rd edn. Springer, Berlin
Rüedi TP, Allgower M (1979) The operative treatment of intra-articular fractures of the lower end of the tibia. Clin Orthop 138:105–110
Anderson JT, Gustilo RB (1980) Immediate internal fixation in open fractures. Orthop Clin North Am 11:569–578
Bhandari M, Schermitsch EH, Adili A et al. (1999) High and low pressure pulsatile lavage of contaminated tibial fractures: an in vitro study of bacterial adherence and bone damage. J Orthop Trauma 13:526–533
Hassinger SM, Harding G, Wongworawat MD (2005) High pressure pulsatile lavage propagates bacteria into soft tissue. Clin Orthop Relat Res 439:27–31
Salton HL, Rush S, Schubert J (2007) Tibial plafond fractures: limited incision reduction with percutaneous fixation. J Foot Ankle Surg 46:261–269
French B, Tornetta P 3rd (2000) Hybrid external fixation of tibial pilon fractures. Foot Ankle Clin 5:853–871
Ruedi TP, Murphy WL (2000) AO principles of fracture management. AO Publishing, Thieme, Chap 4.8.3
Tredwell JR, Fallat LM (1994) Dynamic unilateral distraction fixation: surgical management of tibial fractures. J Foot Ankle Surg 33:438–442
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflitto di interesse
Gli autori G. Romano, L. Romano e A. Crinisio dichiarano di non aver alcun conflitto di interesse.
Consenso informato e conformità agli standard etici
Tutte le procedure descritte nello studio e che hanno coinvolto essere umani sono state attuate in conformità alle norme etiche stabilite dalla dichiarazione di Helsinki del 1975 e successive modifiche. Il consenso informato è stato ottenuto da tutti i pazienti inclusi nello studio.
Human and Animal Rights
Per questo tipo di studio non è richiesto l’inserimento di alcuna dichiarazione relativa agli studi effettuati su esseri umani e animali.
Rights and permissions
About this article
Cite this article
Romano, G., Romano, L. & Crinisio, A. Fratture esposte metaepifisarie distali di tibia. LO SCALPELLO 30, 56–60 (2016). https://doi.org/10.1007/s11639-016-0154-z
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11639-016-0154-z