Lower Limb Trauma
A 35-year-old man sustains an injury to his right ankle in a fall from height. Examination reveals significant swelling around the ankle with fracture blisters developing on the anteromedial skin. Radiographs show a comminuted intra-articular distal tibia fracture with impaction of the tibial plafond and an associated fibular fracture. CT scan demonstrates multiple articular fragments with die-punch impaction of the central plafond. Regarding pilon fractures:
Mark each as TRUE or FALSE
Pilon fractures are high-energy axial loading injuries to the tibial plafond (articular surface); th...
The Ruedi-Allgower classification is based on articular involvement: Type I (non-displaced articular...
Pilon fractures are low-energy rotational injuries; the posterior soft tissues are most at risk; imm...
Staged treatment protocol is standard: Stage 1 involves provisional spanning external fixation (ankl...
Surgical principles include anatomic articular reduction, restoration of length and alignment (fibul...
Answer the questions to see explanations
Click T (True) or F (False) for each option