Conservative Treatment: How and When?
The standard term tibial pilon fracture is used for a group of injuries of the most distal part of the tibia, either intra or extra-capsular. There is almost always involvement of the articular surface which represents the dome of the tibio-fibulo-talar joint complex. Tibial pilon fractures comprise approximately 7% of tibial fractures and 1% of lower limb fractures but have always been a major problem in traumatology. The fractures are frequently comminuted with soft tissue damage and this makes the choice of therapy more difficult. This is the type of situation seen more often in modern practice with an increase in high-energy trauma events following workplace and road traffic accidents. When the force is directed vertically (fall injuries to the heels, frontal car crashes), the distal articular surface of the tibia can give way with varying degrees of comminution and/or depression.
KeywordsConservative Treatment Road Traffic Accident Soft Tissue Damage Fall Injury Pilon Fracture
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