Universität zu Köln

Mair, Olivia, Pflueger, Patrick, Hoffeld, Kai, Braun, Karl F., Kirchhoff, Chlodwig, Biberthaler, Peter and Croenlein, Moritz (2021). Management of Pilon Fractures-Current Concepts. Front. Surg., 8. LAUSANNE: FRONTIERS MEDIA SA. ISSN 2296-875X

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Abstract

Tibial pilon fractures were first described by etienne Destot in 1911. He used the French word pilon (i.e., pestle), to describe the mechanical function of the distal tibia in the ankle joint. This term has further been used to portray the mechanism involved in tibial pilon fractures in which the distal tibia acts as a pestle with heavy axial forces over the talus basically causing the tibia to burst. Many different classification systems exist so far, with the AO Classification being the most commonly used classification in the clinical setting. Especially Type C fractures are extremely difficult to manage as the high energy involved in developing this type of injury frequently damages the soft tissue surrounding the fracture zone severely. Therefore, long -term outcome is often poor and correct initial management crucial. In the early years of this century treatment has evolved to a two-staged protocol, which nowadays is the gold standard of care. Additional methods of treating the soft tissue envelope are currently being investigated and have shown promising results for the future. The aim of this review is therefore to summarize protocols in managing these difficult fractures, review the literature on recent developments and therefore give surgeons a better understanding and ability to handle tibial pilon fractures.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Mair, Olivia UNSPECIFIED UNSPECIFIED UNSPECIFIED Pflueger, Patrick UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoffeld, Kai UNSPECIFIED UNSPECIFIED UNSPECIFIED Braun, Karl F. UNSPECIFIED UNSPECIFIED UNSPECIFIED Kirchhoff, Chlodwig UNSPECIFIED UNSPECIFIED UNSPECIFIED Biberthaler, Peter UNSPECIFIED UNSPECIFIED UNSPECIFIED Croenlein, Moritz UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-586522
DOI:	10.3389/fsurg.2021.764232
Journal or Publication Title:	Front. Surg.
Volume:	8
Date:	2021
Publisher:	FRONTIERS MEDIA SA
Place of Publication:	LAUSANNE
ISSN:	2296-875X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TIBIAL PLAFOND FRACTURES; HYBRID EXTERNAL FIXATION; PRESSURE WOUND THERAPY; QUALITY-OF-LIFE; OPEN REDUCTION; INTERNAL-FIXATION; OPERATIVE TREATMENT; DISTAL TIBIA; INTRAARTICULAR FRACTURES; DEFINITIVE MANAGEMENT Multiple languages Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/58652