Ankle Fractures
A 48-year-old man presents after a fall from a 3-meter height landing on his feet. He has severe pain and swelling of his right ankle with fracture blisters developing. Radiographs show a comminuted distal tibial articular fracture with metaphyseal extension and an associated fibular fracture. CT confirms significant articular comminution and impaction. Regarding pilon fractures:
Mark each as TRUE or FALSE
Pilon fractures are high-energy axial loading injuries of the distal tibial articular surface (tibia...
Ruedi-Allgower classification: Type I (non-displaced articular), Type II (displaced articular, minim...
Pilon fractures are low-energy rotational injuries; the soft tissue envelope is rarely a concern; im...
Staged treatment protocol is preferred for high-energy injuries: Stage 1 involves spanning external ...
Surgical goals include anatomic articular reduction, stable metaphyseal fixation, restoration of mec...
Answer the questions to see explanations
Click T (True) or F (False) for each option