[Treatment strategy and planning for pilon fractures].

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Abstract

[Indexed for MEDLINE] 3. Clin Podiatr Med Surg. 2025 Apr;42(2):275-292. doi: 10.1016/j.cpm.2024.10.009. Epub 2025 Jan 21. Current Strategies in Pilon Fracture Management and Looking to the Future. Page TS(1), Likewise LA(2), Knauer OA(2), Chappell TM(3). Author information: (1)Virginia Mason Franciscan Health PMSR/RRA, Federal Way, WA 98003, USA. Electronic address: tspageaz@gmail.com. (2)Virginia Mason Franciscan Health PMSR/RRA, Federal Way, WA 98003, USA. (3)Franciscan Foot & Ankle Associates, Virginia Mason Franciscan Health, Tacoma, WA 98405, USA. Historically high complication rates encouraged the evolution of pilon fracture management. This article reviews these complex fractures, offering insight into the evolution of treatment with a glimpse into future management techniques, while superimposing our experience with included retrospective analysis of 41 pilon fractures treated at our institution by a single surgeon (T.M.C.) spanning 60 months. With improved understanding and advancing technology, multiple literature-supported strategies are available for the management of these limb-threatening traumas. Intriguing strategies needing further investigation may one day shift the paradigm; as for now, the foundational principles of pilon fracture management continue to anchor the treatment strategy. Copyright © 2024 Elsevier Inc. All rights reserved. DOI: 10.1016/j.cpm.2024.10.009