Fibular Fixation in Distal Tibia Fractures: Reduction Aid or Nonunion Generator?

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Abstract

[Indexed for MEDLINE] 17. Strategies Trauma Limb Reconstr. 2015 Nov;10(3):137-47. doi: 10.1007/s11751-015-0231-5. Epub 2015 Sep 25. Management of high-energy tibial pilon fractures. Jacob N(1)(2), Amin A(3), Giotakis N(4), Narayan B(4), Nayagam S(4), Trompeter AJ(3). Author information: (1)Department of Trauma and Orthopaedic Surgery, St Georges Healthcare NHS Trust, Blackshaw Road, Tooting, London, SW17 0QT, UK. nebujacob@yahoo.com. (2), 1 Locke Gardens, Slough, Berkshire, SL3 7BE, UK. nebujacob@yahoo.com. (3)Department of Trauma and Orthopaedic Surgery, St Georges Healthcare NHS Trust, Blackshaw Road, Tooting, London, SW17 0QT, UK. (4)Limb Reconstruction Unit, Department of Trauma and Orthopaedic Surgery, Royal Liverpool and Broadgreen University Hospital NHS Trust, Liverpool, L7 8XP, UK. Tibial pilon fractures result from high-energy trauma unlike usual ankle fractures. Their management provides numerous challenges to the orthopaedic surgeon including obtaining anatomic reduction of articular surface and the management of associated soft tissue injuries. This article aims to review major advances and principles that guide our practice today. We also discuss a treatment algorithm based on a staged approach to the fracture: initial spanning external fixation followed by definitive fixation. DOI: 10.1007/s11751-015-0231-5 PMCID: PMC4666229