Pilon Fracture; An Unsolved Riddle An Updated Review
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 3
Abstract
Introduction: Pilon fractures are complex and challenging as they are difficult to treat fractures of lower extremities because these are typically intra-articular and associated with extensive soft tissue damage. Treatment of these fractures has caused controversy among surgeons due to mixed outcomes. Material and Methods: The present paper reviews and analyse comprehensive reports based on principles of management of tibial pilon fractures and the published clinical results of the established treatment options and further re-analyse the different complication rates and outcome percentage during different surgical treatment methods of Pilon fracture. Results: Decision making depends on pattern of fractures, severity of local injuries, condition of soft tissues, patients profile, and surgeon’s experience. Currently it is not clear that how much articular anatomy and perfection is required, because sometimes radiographic results doesn’t match with clinical outcome. Conclusion: No single method of fixation is ideal for all pilon fractures, or suitable for all patients. Definitive decision making is mostly dependent on the fracture pattern, condition of the softtissues, the patient’s profile and surgical expertise.
Authors and Affiliations
Atul Dwivedi, Wu Xue Jian, Shweta Shukla Dwivedi, Neelam Rekha Dwivedi, Wu Han, Xiao Peng
Keywords
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