Distal Tibial Fractures Flashcards
Intra-articular distal tibial fractures are known by which other name?
Pilon farctures
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
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)
