![]() ![]() The same approach is used for combined posterior ankle fractures, especially the posterior rotation type. However, the fibular fracture line and the tibial fracture line may not be in the same plane, which is not applicable for high fibular fractures, or may require distal osteotomy. Therefore, we considered whether posterior pilon fractures with combined fibular fractures could be treated by opening the fibular fracture line through a posterior lateral approach to look directly at the distal tibial articular surface, which would reduce irritation to the posterior soft tissues and neurovascular, etc. If adequate exposure is required, it is necessary to turn the posterior bone block, which is more disruptive to the soft tissues. The main advantage of the posterolateral approach is that a single incision can treat both the posterior ankle and fibula, but it does not adequately expose the tibial fracture end and articular surface, and poor repositioning is often encountered. Posterior pilon fractures should be dissected and repositioned as much as possible to reduce the occurrence of traumatic arthritis. The posterior pilon fracture line is mostly coronal, with step production, longitudinal displacement of the articular surface, and easy entrapment of articular cartilage and soft tissue. However, the best treatment for posterior pilon fracture is a matter of opinion. Currently, there are many surgical approaches for posterior pilon fractures, such as the posterolateral approach, the posterior-medial approach, or the modified posterior-medial approach. Our team believes that posterior pilon fractures involve the posterior articular surface of the distal tibia and that anatomic repositioning is mandatory. The interest of foot and ankle scholars in posterior pilon fractures has grown since the concept of posterior pilon fractures was introduced. The prognosis is not as good as for posterior ankle fractures due to the large area of involvement of the posterior articular surface of the distal tibia. Posterior pilon fractures are produced by vertically and rotational stresses on the foot in plantar flexion and are characterized by major fracture mass on the posterior side, a coronal fracture line, and the possible inclusion of a die-punch bone mass. The energy tends to be less than that of pilon fracture, and the soft tissue condition is superior to that of pilon fracture. In contrast, posterior pilon fractures are the result of a combination of vertical and rotational violence and involve only the posterior articular surface of the distal tibia. Pilon fracture is a compression fracture of the entire distal tibial articular surface caused by high energy vertical violence. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |