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Surgical Treatment Approach for Pilon and Talar Dome Fracture

Authors
 Jin Park  ;  Hyo Beom Lee  ;  Gab Lae Kim  ;  Kyu Hyun Yang 
Citation
 JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION, Vol.110(4) : 14, 2020-07 
Journal Title
JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION
ISSN
 8750-7315 
Issue Date
2020-07
Abstract
alar injuries that are associated with pilon fractures include talar body fractures, osteochondral defects, and posterior process talar fractures. Pilon fractures, in combination with talar dome fractures, have not yet been reported in the scientific literature. We report the case of a 15-year-old boy who sustained a pilon fracture with a lateral talar dome fracture. The pilon fracture was initially fixed using a temporary external fixator for soft-tissue care. After the swelling subsided, definitive internal fixation was performed. First, the lateral talar dome fracture was directly reduced and fixed using a small anterolateral approach of the ankle. Then, the intra-articular portion of the pilon fracture was directly reduced using the same anterolateral approach and an additional small anteromedial approach, and the extra-articular metaphyseal portion of the pilon fracture was indirectly reduced. The pilon fracture was finally fixed with an anterolateral distal tibia plate, using a submuscular plating technique through the anterolateral approach and a separate proximal skin incision. A medial distal tibia plate was later added using a subcutaneous plating technique through the anteromedial approach and another proximal skin incision. Both the pilon fracture and the lateral talar dome fracture were addressed simultaneously through a combination of the small anterolateral and anteromedial approaches.
Full Text
https://meridian.allenpress.com/japma/article-abstract/110/4/Article_14/444548/Surgical-Treatment-Approach-for-Pilon-and-Talar?redirectedFrom=fulltext
DOI
10.7547/18-179
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Yang, Kyu Hyun(양규현) ORCID logo https://orcid.org/0000-0001-7183-588X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/183862
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