Exam II Lecture 10 Pilon Fractures Dr. Dayton Flashcards
What is the first stage of the two stage treatment plan for pilon fractures?
Stage one i reduction and splint or external fixation.
This gives the tissue time to recover before surgery.
Or you can use damage control frame.
What is the second stage of the two stage treatment plan for pilon fractures?
Definitive reduction and fixation of the fracture after the soft tissues have recovered.
What type of inury is a pilon fracture?
It’s important to understand that its a soft tissue injury.
the definitive surgery must be delayed until the soft tissue envelope relaxes.
What are damage control principles?
Letting SIRS calm down before surgery to prevent the second hit concept.
What is the key factor in the long term prognosis of pilon fractures?
The number of fragments and extent of metaphyseal crush
What is Phase 1 of extremity damage control?
Stabilize the foot and let it chill
What is Phase 2 of extremity damage control?
the soft tissues can be treated, medical conditions are also taken care of waiting for the soft tissue to demarcate.
What is Phase 3 of extremity damage control?
6 days to several weeks
Beyond soft tissue preservation, what is second priority in traumatic injuries?
Joint health!
