The Tibial Pilon fractures (TPF) represent a difficult problem in orthopedic surgical practice because the reduction of these fractures is complex both in the choice of âhowâ for surgery, both in the choice of âwhenâ (operative timing) for surgery. Their frequency is relatively low, about 1% of all lower limb fractures, with higher incidence in the 3rd and 5th decade. These fractures may be caused by falls, road accidents or sport injuries. TPF may be produced by two different dynamics: shear-stress injuries, which separate bone fragments, and compression injuries, which compress and impact bony matter. The mechanism is the implosion of the tibial plafond caused by axial compression between the talus and the distal tibial articular surface, with or without horizontal torsion. It is often associated with significant degloving of the soft tissue surrounding the bone, while the skin, capsule and ligaments are partly spared.
Last date updated on July, 2014