Epidemiology and Pathological Anatomy

  • V. Caiaffa
  • D. De Vita
  • M. Di Viesto
  • G. SolarinoJr.


With the growing number of road traffic accidents and high-energy trauma events over recent years, traumatology departments have seen an increasing incidence of complex bone injuries with comminuted fractures and extensive soft tissue damage; these include fractures of the distal tibial metaphysis, more commonly known as “tibial pilon” fractures.


Articular Surface Distal Tibia Road Traffic Accident Pathological Anatomy Distal Metaphysis 
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  1. 1.
    Destot EAJ (1911) Traumatismes du pied et rayons X: malleoles-astragale-calcaneum-avant-pied. Masson, ParisGoogle Scholar
  2. 2.
    Bonin JG (1950) Injuries to the ankle. William Heinemann, London, pp 248–260Google Scholar
  3. 3.
    Helfet DL, Koval K, Pappas J et al (1994) Intra-articular “pilon” fracture of the tibia. Clin Orthop 298:221–228PubMedGoogle Scholar
  4. 4.
    McDonald MG, Burgess RC, Bolano LE, Nicholls PJ (1996) Ilizarov treatment of pilon fractures. Clin Orthop 325:232–238PubMedCrossRefGoogle Scholar
  5. 5.
    Griffiths GP, Thordarson DB (1996) Tibial plafond fractures: limited internal fixation and a hybrid external fixator. Foot Ankle Int 17(8):444–448Google Scholar
  6. 6.
    Bourne RB (1989) Pilon fractures of the distal tibia. Clin Orthop 240:42–46PubMedGoogle Scholar
  7. 7.
    Court-Brown CM, Rimmer S, Prakash U, McQueen MM (1998) The epidemiology of open long bone fractures. Injury 29(7):529–534CrossRefGoogle Scholar
  8. 8.
    Pierannunzii L, De Bellis U, d’Imporzano M (2002) II trattamento chirurgico delle frat-ture del pilone tibiale. Giorn Ital Ortop Traumatol 28:11–23Google Scholar
  9. 9.
    Williams PL (1994) Anatomia del Gray, Italian edn. Zanichelli, BolognaGoogle Scholar
  10. 10.
    Thordarson DB (2000) Complications after treatment of tibial pilon fractures: prevention and management strategies. J Am Academy Orthop Surg 8(4):253–265Google Scholar
  11. 11.
    Balboni GC (1991) Anatomia umana. Ermes, MilanoGoogle Scholar
  12. 12.
    Kapandji IA (1996) Fisiologia articolare, 4th edn. Monduzi, ParisGoogle Scholar
  13. 13.
    Mast JW, Spiegel PG, Pappas JN (1986) Fractures of tibial pilon. Clin Orthop 230:68–82Google Scholar
  14. 14.
    Rockwood CA Jr, Green DP (1996) Fractures in adults, Vol. 2, 4th edn. Lippincott-Raven, Philadelphia New York, pp 2236–2241Google Scholar
  15. 15.
    Kellam JF, Waddell JP (1979) Fractures of the distal metaphysis with intra-articularextension: the distal tibial explosion fracture. J Trauma 19(8):593–601CrossRefGoogle Scholar
  16. 16.
    Leone VJ, Ruland R, Meinhard B (1993) The management of the soft tissues in pilon fractures. Clin Orthop 292:315–320PubMedGoogle Scholar
  17. 17.
    De Bastiani G, Graham Apley A, Goldberg A (2000) Orthofix external fixation in trauma and orthopaedics. Springer, erlin Heidelberg New YorkGoogle Scholar
  18. 18.
    Tscherne H, Goetzen L (1984) Fractures with soft tissue injuries. Springer, erlin Heidelberg New YorkCrossRefGoogle Scholar
  19. 19.
    Gustilo RB, Mendoza RM, Williams DN (1984) Problems in the management of type III (severe) open fractures: a new classification of type III open fractures. J Trauma 24:742–746PubMedCrossRefGoogle Scholar
  20. 20.
    Coughlin MJ, Mann RM (2001) Chirurgia del piede e della caviglia, Vol. 2, 7th edn. Verduci, Roma, pp 1346–1347Google Scholar
  21. 21.
    Lauge-Hansen N (1953) Fractures of the ankle: pronation-dorsiflexion fracture. Arch Surg 67:813CrossRefGoogle Scholar
  22. 22.
    Ruedi TP, Allgower M (1979) The operative treatment of intra-articular fractures of the lower end of the tibia. Clin Orthop 138:105–110PubMedGoogle Scholar
  23. 23.
    Ovadia D, Beals RK (1986) Fractures of tibial plafond. J Bone Joint Surg Am 68(4):543–551Google Scholar
  24. 24.
    Miiller ME, Allgower M, Schneider R, Willenegger H (1993) Manuale del’Posteosintesi: tecniche raccomandata dal gruppo AO, 3rd edn. Springer, erlin Heidelberg New YorkGoogle Scholar

Copyright information

© Springer-Verlag Italia 2002

Authors and Affiliations

  • V. Caiaffa
    • 1
  • D. De Vita
    • 1
  • M. Di Viesto
    • 1
  • G. SolarinoJr.
    • 1
  1. 1.Clinica OrtopedicaUniversità degli Studi di BariItaly

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