Cover Journal of the American Podiatric Medical Association
Journal of the American Podiatric Medical Association
ISSN:
8750-7315
  • 1

    Calori GM. Tagliabue L. Mazza E. et al: Tibial pilon fractures: which method of treatment? Injury 41: 1183, 2010.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 2

    Tarkin IS. Clare MP. Marcantonio A. An update on the management of high-energy pilon fractures. Injury 29: 142, 2008.

  • 3

    Lavini F. Dall'Oca C. Mezzari S. et al: Temporary bridging external fixation in distal tibia fracture. Injury 45(suppl 6): S58, 2014.

  • 4

    Kretteck C. Bachmnn S. Pilon fractures: part 1. Diagnostics, treatment strategies and approaches [in German]. Chirurg 86: 87, 2015.

  • 5

    Song Z. Xue HZ. Zhang K. Pathogenesis and treatment strategies for pilon fractures with ankle dislocation. J Foot Ankle Surg 54: 815, 2015.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 6

    Poyanli O. Esenkaya I. Ozkut AT. Minimally invasive reduction technique in split depression type tibial pilon fractures. J Foot Ankle Surg 51: 254, 2012.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 7

    Kretteck C. Bachmnn S. Pilon fractures: part 2. Repositioning and stabilization technique and complication management [in German]. Chirug 86: 187, 2015.

Article Type:
Clinically Speaking
Online Publication Date:
May 2018

Complete Reduction for Pilon Fracture Can Make Complete Failure

Kwang-Bok Lee Department of Orthopedic Surgery, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.

Search for other papers by Kwang-Bok Lee in
Current site
Google Scholar
PubMed Close
 MD
,
Seong-Yup Jeong Department of Orthopedic Surgery, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.

Search for other papers by Seong-Yup Jeong in
Current site
Google Scholar
PubMed Close
 MD
,
Seung-Ho Kim Department of Orthopedic Surgery, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.

Search for other papers by Seung-Ho Kim in
Current site
Google Scholar
PubMed Close
 MD
, and
Dong-Gun Shim Department of Orthopedic Surgery, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.

Search for other papers by Dong-Gun Shim in
Current site
Google Scholar
PubMed Close
 MD
DOI:
https://doi.org/10.7547/17-001
Restricted access
Copyright Permission Requests
USD  $35.00
Click here to view the full Terms and Conditions

The surgical management of distal intra-articular comminuted fracture of the tibia (pilon fracture) is difficult because complications frequently develop. The minimally invasive plate osteosynthesis technique is generally accepted for this type of fracture. In this study, complications developed after open reduction and internal fixation using multiple miniplates for accurate reduction of small fracture fragments. Therefore, when we use this technique, we need to pay attention to the development of complications such as nonunion, avascular necrosis, and osteomyelitis by the disruption of both endosteal blood supply by fracture and periosteal blood supply during approach or reduction.

Corresponding author: Kwang-Bok Lee, MD, Department of Orthopedic Surgery, Chonbuk National University Medical School, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, 20 Gunjiro, Deokjingu, Jeonju, 54978, Republic of Korea. (E-mail: osdr2815@naver.com)
Save