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Pilon Fractures

delete2025-10-01
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PRE
AI
M
Moritz F. Lodde *
A
Alexander Milstrey
S
Sabine Ochman
M
Michael J. Raschke
DOI:10.1055/a-2652-5609delete
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Abstract

Abstract

En 中文
Pilon tibial fractures are intra-articular fractures of the distal tibial metaphysis, typically resulting from high-energy axial trauma. Accurate classification using AO/OTA type 43-C and advanced imaging, including CT with 3D reconstruction, is essential for preoperative planning. Initial management of displaced fractures includes prompt reduction and temporary immobilization, often with a spanning external fixator. Definitive treatment follows a staged protocol based on soft tissue status and involves open reduction and internal fixation via approach-specific surgical access. Conservative management is reserved for stable, non-displaced fractures. Anatomical reduction is critical for favorable long-term outcomes. Postoperative care includes early physiotherapy, individualized weight-bearing, and close radiological monitoring.
Keywords:
Pilon-tibiale-Fraktur
pilon tibiale fracture
ankle joint injury
comminuted fracture
traumatology
pilon tibiale fracture
ankle joint injury
comminuted fracture
traumatology

Journal

Z
ZEITSCHRIFT FUR ORTHOPADIE UND UNFALLCHIRURGIE
IF:
0.9
Papers:
64
Citations:
0

Organization

F
Free University of Berlin
Scholars:
3.8W
Papers: 3.2W
Citations: 51
U
university of munster
Scholars:
2.9W
Papers: 2.2W
Citations: 45
Cited Papers

Cited Papers

Ipsilateral Intact Fibula as a Predictor of Tibial Plafond Fracture Pattern and Severity
err2013-05-29
err0
PREAI
errPamela C. Luk; Timothy P. Charlton; Jackson Lee; David B. Thordarson
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Technik der Operativen Frakturenbehandlung
err
IF0
err1963-01-01
err0
PREAI
errM. E. Müller; M. Allgöwer; H. Willenegger
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Anatomy and classification of the posterior tibial fragment in ankle fractures
err2015-02-24
err0
PREAI
errJan Bartoníček; Stefan Rammelt; Karel Kostlivý; Václav Vaněček; Daniel Klika; Ivo Trešl
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Tibial pilon fractures: Which method of treatment?
err2010-11-01
err0
PREAI
errG.M. Calori; L. Tagliabue; E. Mazza; U. de Bellis; L. Pierannunzii; B.M. Marelli; M. Colombo; W. Albisetti
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Management of Pilon Fractures—Current Concepts
err2021-12-23
err0
errOAAI
errOlivia Mair; Patrick Pflüger; Kai Hoffeld; Karl F. Braun; Chlodwig Kirchhoff; Peter Biberthaler; Moritz Crönlein
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The analysis of the variables, affecting outcome in surgically treated tibia pilon fractured patients
err2013-10-01
err0
PREAI
errKorkmaz,Aytel; Çiftdemir,Mert; Özcan,Mert; Çopuroğlu,Cem; Sarıdoğan,Kenan
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Anatomie, Biomechanik und Pathomechanik des Pilon tibiale
err2012-03-01
err0
PREAI
errBartoniček,Jan; Mittlmeier,Thomas; Rammelt,Stefan
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