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Trauma
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Pilon Fracture Management

Lower Limb Trauma

A 35-year-old construction worker falls from a scaffold, landing on his feet. He has severe pain and swelling around his left ankle. Radiographs reveal a comminuted fracture of the distal tibial articular surface with significant impaction and a concomitant fibular fracture. There are fracture blisters developing on the anterior ankle. Regarding pilon fracture management:

Mark each as TRUE or FALSE

A

Pilon fractures result from axial loading with or without rotational forces; they involve the weight...

B

Soft tissue management is critical and often dictates surgical timing; the "wrinkle test" (presence ...

C

Immediate definitive ORIF should be performed for all pilon fractures regardless of soft tissue cond...

D

CT scanning with reformats is essential for preoperative planning to assess articular comminution, f...

E

The staged protocol typically involves: Stage 1 with fibular fixation and spanning external fixation...

Answer the questions to see explanations

Click T (True) or F (False) for each option