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, 27 , 28 , 40 , 41 , 42 , 43 ). The association between tibial pilon fractures and ACS is less obvious with reported occurrence rates under 5% ( 24 , 28 , 35 , 40 , 44 ). As ACS is not rare in the setting of a tibial fracture, and as any
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White TO , Guy P , Cooke CJ , et al. . The results of early primary open reduction and internal fixation for treatment of OTA 43.C-type tibial pilon fractures: a cohort study . J Orthop Trauma 2010 ; 24 : 757 - 763 . 6
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/OTA classification, 6 the term ‘distal tibial fracture’ includes a heterogeneous group of fractures that involve the distal part of both tibia and fibula. The term ‘pilon fracture’ was originally introduced by Etienne Destot and indicates the involvement of the
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tibial plateau fracture with a locking plate; bone cement in situ is noted filling the void previously created; the previous depressed articular segment is now reduced. Pilon fractures Pilon fractures are the result of high-energy trauma
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. ( 45 ) described a ‘Bosworth displacement’ of the fibular fragment in a partial fracture of the tibial pilon (anterior part), while Capuccio et al. ( 46 ), in 2017, reported a BF in combination with a partial posteromedial pilon fracture
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. J Orthop Trauma 2017 ; 31 : e116 - e120 . 32 Assal M Ray A Fasel JH Stern R . A modified posteromedial approach combined with extensile anterior for the treatment of complex tibial pilon fractures (AO
Faculty of Medicine, Geneva University, Switzerland
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Faculty of Medicine, Geneva University, Switzerland
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, tibia plafond and talar dome osteochondral defects retrograde drilling and filling, pilon fractures open reduction and internal fixation (ORIF), calcaneum less-invasive ORIF, midfoot fusions, tibia derotations osteotomies, internal fixation of fifth
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, including case series and case-control studies investigating radiologically confirmed osteoarthritis in adults with an ankle fracture. All types of fractures were included, except for pilon fractures of the tibial plafond and talus fractures. The study had
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Department of Traumatology and Reconstructive Surgery including Department of Orthopedic Surgery, Charite Universitätsmedizin Berlin, Berlin, Germany
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Rammelt may be used as a guide for decision making, but important factors have to be considered. Operative treatment aims to re-establish posterior stability while restoring the size and articular surface of the tibial pilon, the stabilizing function of
School of Medicine, Universidad de La Laguna, Tenerife, Spain
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School of Medicine, Universidad de La Laguna, Tenerife, Spain
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University of Basel, Basel, Switzerland
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School of Medicine, Universidad de Sevilla, Sevilla, Spain
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Long femoral nail Full 6 47%: two superficial infections, one deep infection, three broken distal screw, two valgus malunion, one BKA Taylor et al. (10) RT IV 31 63 Ankle or pilon low-energy fractures. TTC nail *Full