A tibial plateau fracture is a common knee fracture. It is also known as Pilon fracture and explosion fracture. Distal tibial triplane features, which constitute 6%-10% of epiphyseal injuries, are most accurately delineated and analyzed with computed tomography (CT). 1-5 Most studies that report outcomes after these fractures have assessed patients at a single point in time and report an average length of follow up. Trimalleolar fractures usually include a lateral malleolar fracture, a triangular fracture of the posterolateral corner of the tibial plafond, and a horizontal or oblique fracture of the medial malleolus. Theorie et pratique de l’ osteosynthese. Tibial Plateau Fracture. Emergency Radiology: Case Studies. There are three possible explanations for the underreporting of this lesion in the radiology literature. A pilon fracture (also called a tibial plafond fracture) is a comminuted fracture of the distal tibia involving the ankle joint. It involves the articular surface of the ankle joint. The tibial plateau fracture. Paris, France: Masson & Cie, 1949. (A) Preoperative X-ray. Fractures of the tibial plafond, or distal tibial articular surface, are usually associated with a high-force mechanism, which frequently can involve associated injuries and prolonged disability. Figure 1. ♦ Tibial plafond fractures demand respect, largely due to the fragile soft tissue envelope that surrounds the distal tibia♦ Careful preoperative planning followed by meticulous operative handling of the soft tissues is required to avoid devastating complications. Cleft tends to remain till the growth plate fuses. Subtle fractures may be missed in a knee X-ray. Tibial Plafond Fractures - Trauma - Orthobullets Most articular fractures of the distal tibial weight-bearing surface are the result of motor vehicle accidents, motorcycle accidents, falls from heights, and industrial injuries. PMID: 445923. Data collected consisted of patient demographics, type of plafond fracture (AO/OTA 43-A, 43-B, 43-C), date of injury, date of last follow-up, progression to arthrodesis, and time from injury to arthrodesis. Tibial Plafond Fractures is a topic covered in the 5-Minute Clinical Consult.. To view the entire topic, please sign in or purchase a subscription.. 5-Minute Clinical Consult (5MCC) app and website powered by Unbound Medicine helps you diagnose and manage 900+ medical conditions. Lateral knee X-ray with horizontal beam & AP image of the left knee. The lateral image shows lipohemarthrosis and a lateral tibial plateau fracture. Pilon Fractures or Tibial plafond fractures in their theory paper during university exams. This article addresses pilon fractures—a specific type of fracture that occurs in the lower leg near the ankle. Cleft of distal tibial epiphyses most closely resemble Salter-Harris III or IV fractures. Salvage technique for treatment of periplafond tibial fractures: the modified fibula-pro-tibia procedure. Schwartz DT. Reliability of Radiologic Assessment of the Fracture Anatomy at the Posterior Tibial Plafond in Malleolar Fractures April 2009 Journal of orthopaedic trauma 23(3):208-12 Explanation. The cause of Tibial Plafond Fracture is axial or rotational forces occurring from motor vehicle accidents or falling from a height. Schatzker J et al. This patient had marked comminution as well as articular impaction of the distal tibial plafond. (C) Preoperative magnetic resonance imaging (MRI) scan showing the lateral tibial plateau fracture and the complete disruption of the medial collateral ligment. It represents a wide spectrum of injury severity and accounts for approximately 5% to 7% of all tibia fractures and less than 1% of all lower-extremity fractures. Plafond fractures are also known as pilon fracture or explosion fracture anatomy. Zeltzer DW, Leopold SS. Classification. Patients with osteochondral lesions of the tibial plafond had similar symptoms as those with osteochondritis dissecans of the talar dome. Type I: Intra-articular fracture of the distal tibia without significant displacement Type II: Intra-articular fracture of the distal tibia with significant displacement but minimal comminution Type III: Fracture of distal tibia with severe comminution and significant intra-articular displacement. High-energy fractures are generally due to axial force that drives the talus into the tibial plafond, causing an “implosion” of the articular surface. Tibial pilon fractures: a comparative clinical study of management techniques and results. Thirty-six tibial plafond fractures were followed over two years, with thirty-one MDCTs being obtained four months after injury, and twenty-two MDCTs after two years. Let Us Learn Orthopaedics- Tibial Plafond Fractures Pilon Fractures A Tibial Plafond Fracture is an uncommon fracture occurring in the distal region of the tibia. 2.1 Intervention and outcome measurements. One hundred sixty-eight tibial plafond fractures were identified and included in the study . I. Overview. Methods: A retrospective analysis in 14 patients with complex open pilon fractures treated between 2010 and 2015 was conducted. A pilon fracture, is a fracture of the distal part of the tibia, involving its articular surface at the ankle joint.Pilon fractures are caused by rotational or axial forces, mostly as a result of falls from a height or motor vehicle accidents. Figure 20. It is also known as Pilon fracture and explosion fracture. These fractures account for approximately 1% to 10% of the lower leg or tibial fractures and are often associated with severe bone comminution and soft tissue compromise. Tibial Fractures (Radiology (Mortise view: part of the 3 view series of…: Tibial Fractures (Radiology, Clinical presentation, Tibial Plateau fractures, Tibial shaft fractures, Tibial plafond fractures) The prevalence of osteochondritis dissecans in the tibial plafond detected on radiography is unknown. Outcomes after tibial plafond fractures are variable but typically they are not excellent. According to the Ruedi and Allgower classification, this is a type III Pilon fracture. The pain had started gradually during a 10 mile running competition. Aim: To report clinical and radiographic results of treatment of patients with complex open tibial pilon fractures. Plateau fracture accidents or falling from a height there are three possible explanations for the of... Open pilon fractures or tibial plafond detected on radiography is unknown sixty-eight tibial plafond fracture is type. & Cie, 1949 as articular impaction of the distal tibial epiphyses most resemble! 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