Journal of Orthopaedic Disorders

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The Tibial Pilon Fractures

A pilon fracture, may be a fracture of the distal a part of the tibia, involving its articular surface at the ankle . Pilon fractures are caused by rotational or axial forces, mostly as a results of falls from a height or automobile accidents. Pilon fractures are rare, comprising 3 to 10 percent of all fractures of the tibia and 1 percent of all lower extremity fractures, but they involve an outsized a part of the weight-bearing surface of the tibia within the ankle . due to this, they'll be difficult to fixate and are historically related to high rates of complications and poor outcome.
 This includes the involvement of other bones like the fibula and therefore the talus, involvement of sentimental tissue, and therefore the fracture pattern. Treatment strategies and fixation methods used which include internal and external fixation, also called as staged approaches, with the aim of reducing the fracture, reconstructing the involved bones and restoration of articular surface congruence, with minimal insult to soft tissues. Appropriate wound management is vital to scale back the high rate of infectious complications and secondary wound healing problems related to open pilon fractures. Vacuum-assisted wound closure therapy and employing a staged protocol may play a positive role

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