Treatment Criteria for Closed Injuries
The term tibial pilon was first used by the French radiologist Destot in 1911 to identify the anatomical region corresponding to the distal third of the tibia, extending proximally approximately 5 cm from the joint line. The term tibial pilon fracture (7-10% of tibial fractures) is used to define a group of injuries that always involves the distal tibial articular surface with, in 85% of cases, fractures of the fibula, and should be distinguished from malleolar injuries which also involve the metaphyseal region [1,2]. Tibial-pilon fractures may be caused by low-energy rotational injuries such as sports accidents or can be high-energy complex trauma, frequently caused by road traffic accidents or falls from a height. The injuries may present with comminution and articular or metaphyseal displacement to a greater or lesser extent, with possible diaphyseal extension and/or severe soft tissue damage, and may or may not be open. For this reason, careful history and pre-operative examination is indispensable for choosing the correct therapeutic strategy.
KeywordsClose Injury Tibial Fracture Cannulated Screw Treatment Criterion Articular Fracture
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