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1
Bartlett CS, Weiner LS: “Fractures of the Tibial Pilon,” in Skeletal Trauma, 3rd Ed, edited by BD Browner, JB Jupiter, AM Levine, et al, p 2257, WB Saunders, Philadelphia, 2003.
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2
Franzone JM, Vosseller JT: Posterolateral approach for open reduction and internal fixation of a posterior malleolus fracture—hinging on an intact PITFL to disimpact the tibial plafond: a technical note. Foot Ankle Int 34: 1177, 2013.
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3
Barei DP, Crist BD: “Fractures of Ankle and Distal Tibial Pilon,” in Orthopaedic Knowledge Update: Trauma 4, 4th Ed, edited by AH Schmidt, DC Teague, p 499, American Academy of Orthopaedic Surgeons, Rosemont, IL, 2010.
-
4
Rüedi T, Allgöwer M: Fractures of the lower end of the tibia into the ankle joint. Injury 1: 92, 1969.
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5
Swiontkowski MF, Sands AK, Agel J, et al: Interobserver variation in the AO/OTA fracture classification system for pilon fractures: is there a problem? J Orthop Trauma 11: 467, 1997.
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6
Liu J, Smith CD, White E, et al: A systematic review of the role of surgical approaches on the outcomes of the tibia pilon fracture. Foot Ankle Spec 9: 163, 2016.
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7
Wei SJ, Han F, Lan SH, et al: Surgical treatment of pilon fracture based on ankle position at the time of injury/initial direction of fracture displacement: a prospective cohort study. Int J Surg 12: 418, 2014.
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8
Femino JE, Vaseenon T: The direct lateral approach to the distal tibia and fibula: a single incision technique for distal tibial and pilon fractures. Iowa Orthop J 29: 143, 2009.
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9
Grose A, Gardner MJ, Hettrich C, et al: Open reduction and internal fixation of tibial pilon fractures using a lateral approach. J Orthop Trauma 21: 530, 2007.
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10
Yassin M, Garti A, Khatib M, et al: The utility and limitations of the transfibular approach in ankle trauma surgery. Case Rep Orthop 2014: 234369, 2014.
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11
Gupte CM, Dasgupta R, Beverly MC: The transfibular approach for distal tibial osteochondroma: an alternative technique for excision. J Foot Ankle Surg 42: 95, 2003.
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12
Gonzalez TA, Watkins C, Drummond R, et al: Transfibular approach to posterior malleolus fracture fixation: technique tip. Foot Ankle Int 37: 440, 2016.
Lateral Transfibular Approach to Tibial Pilon Fractures: A Case Report
We present a case of tibial pilon fracture where only the lateral part of the distal tibia was affected. The transfibular approach to the ankle was used for the surgical treatment of the fracture. After an initial nonweightbearing period of 3 weeks, full weightbearing was allowed 8 weeks after surgery. The second-year follow-up showed no evidence of degenerative signs, with full ankle range of motion.
