[Treatment strategy and planning for pilon fractures].

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Abstract

[Indexed for MEDLINE] 3. Semin Musculoskelet Radiol. 2022 Dec;26(6):623-634. doi: 10.1055/s-0042-1760122. Epub 2023 Feb 15. Presurgical Perspective and Postsurgical Evaluation of Tibial Pilon Fractures. Piña-Rivas A(1), Mut-Pons R(1), Llopis E(1). Author information: (1)Department of Radiology, Hospital de La Ribera, Valencia, Spain. Tibial pilon fractures represent only a small percentage of all fractures of the lower limb. But they are a feared entity, both for the interpreting radiologist and the treating surgeon and, ultimately, for the patient because they involve the weight-bearing area of the joint and often have associated soft tissue injury. These factors make them technically challenging, with poor clinical and functional results in many patients, even when a perfect joint reduction is achieved. Presurgical evaluation with computed tomography and individualized staged management is critical for the prognosis, a definitive treatment strategy, and the prevention of future complications. Thieme. All rights reserved. DOI: 10.1055/s-0042-1760122