The Use of External Fixators in the Acute Management of Tibial Pilon Fractures

  • Cyril MauffreyEmail author
  • David Seligson
  • Jessica Heinsen


A pilon fracture is a fracture into the articular surface of the distal tibia. The complexity of this injury and problem in its treatment are detailed in a fascinating monograph by the French radiologist Chaput. His name is memorialized in the eponym “Chaput’s tubercle” for the important anterolateral corner of the distal tibia, which contains the origin of the anteroinferior tibiofibular ligament – the cinch for the tibiofibular syndesmosis [1]. Reassembly of the distal articular surface is detailed in Lambotte’s books on fracture fixation [2]. It was, however, not until the Swiss Fracture group began their historic systematic approach to the operative treatment of fractures that the “pilon fracture” was categorized and regularly repaired surgically.


Articular Surface External Fixation Complex Regional Pain Syndrome Distal Tibia Pilon Fracture 
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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • Cyril Mauffrey
    • 1
    Email author
  • David Seligson
    • 1
  • Jessica Heinsen
    • 1
  1. 1.Department of OrthopaedicsUniversity Hospital LouisvilleLouisvilleUSA

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