Distal Tibial Fractures Flashcards
Intra-articular distal tibial fractures are known by which other name?
Pilon farctures
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Which treatment method is preferred for distal tibial fractures in the following situations?
a) Not too distal and extra-articular
b) Very distal, yet extra-articular
a) Intramedullary nail
b) Plate and screws
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Pilon fractures usually require which type of treatment and why?
ORIF
To ensure a congruent surface at the articulation
What generally causes a Pilon fracture?
High energy fall from a height or rapid deceleration
What is often required in order to assess a Pilon fracture to determine the fixation and surgical approach?
CT scan
What secondary problem often arises after a Pilon fracture heals?
Post-traumatic OA
How is post-traumatic OA as a result of a Pilon fracture often treated?
Ankle arthrodesis
(ossification of two bones during surgery)