Published September 22, 2011 | 
Pilon fractures are a variant of ankle fractures of the tibia that involve the major weight-bearing part of the ankle joint, the tibial plafond. Pilon fractures are severe in nature and occur from axial loading mechanisms . The force sustained, when a person falls off a ladder and lands on the feet, is an example of an axial loading mechanism that can lead to a pilon fracture. Pilon fracture occurs in the lower end of the tibia bone that constitutes the ankle joint by articulating with the talus. Furthermore, Pilon fracture is mostly result when talus bone hits tibia bone with a force directed upwards. Pilon fractures require much more extensive fixation than a basic ankle fracture. Patients are required to be non-weight bearing longer and have longer recovery periods
Pilon fractures occur a the base of the ankle and are caused by high impact crashes. Due to the impact needed to cause a pilon fracture other injuries are also often sustained. Men are 3 times more likely than women to have pilon fractures. A majority of pilon fractures occur because of the lack of protection for legs during a car or .
Pilon fracture constitutes 1% of all lower limb fractures and about 3% to 10% of tibial fractures . It is usually the result of high energy injury to the weight bearing area of the lower end of the tibia by the talus. Open fractures comprises about 10% to 30% of all pilon fractures . These fractures are often associated with significant soft tissue degloving, metaphyseal bone defects and articular depression. In spite of improvements in surgical approaches and implants, treatment of tibial pilon fractures remains challenging In the present study, we discuss the methods, timing and clinical outcomes of surgical treatment for open pilon fractures.
Symptoms of a pilon fracture include swelling and pain. A person experiencing these symptoms should seek medical help immediately. A doctor will order an X-ray to have a better understanding of the location and severity of the fracture. Often times a pilon fracture requires surgery. During surgery a doctor may insert pins and screws to support the ankle and allow for realignment and proper healing. A doctor will prescribe a blood thinner to make sure you do not suffer from blood clots after surgery.
Pilon fractures are relatively uncommon, accounting for only approximately seven percent of all tibial fractures. Clinical presentation will vary depending on the severity of injury impact and duration since onset of injury. The blood supply to the distal leg is provided by branches of the posterior tibial, peroneal, and dorsalis pedis arteries. Patients sustaining trauma resulting in a pilon fracture often have rapid and significant soft tissue swelling that can quickly result in large skin blister formation.
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