Posterior Approaches in the Treatment of Tibial Pilon Fractures
Tibial pilon fractures remain a challenge for surgeons. The majority of these fractures are treated with anterior approaches. Select complex fractures require (typically additional) posterior approaches to obtain appropriate reduction and stabilization of the articular surface. Posterior approaches...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2024-04-01
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| Series: | Journal of Foot and Ankle Surgery (Asia Pacific) |
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| Online Access: | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1335 |
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| _version_ | 1850272509189947392 |
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| author | Robert P Dunbar |
| author_facet | Robert P Dunbar |
| author_sort | Robert P Dunbar |
| collection | DOAJ |
| description | Tibial pilon fractures remain a challenge for surgeons. The majority of these fractures are treated with anterior approaches. Select complex fractures require (typically additional) posterior approaches to obtain appropriate reduction and stabilization of the articular surface. Posterior approaches may be undertaken with the patient in the prone or semilateral position. The semilateral position may allow for simultaneous treatment and easy adjustment of reduction or fixation without repositioning the patient. The posterolateral approach has been commonly used by surgeons, often in conjunction with fixation of the fibula. Posteromedial approaches have been used less frequently but appear to offer significant versatility and greater access to more of the posterior column than posterolateral approaches. |
| format | Article |
| id | doaj-art-4c49661555e34befba3877321cb9f53c |
| institution | OA Journals |
| issn | 2348-280X 2394-7705 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Foot and Ankle Surgery (Asia Pacific) |
| spelling | doaj-art-4c49661555e34befba3877321cb9f53c2025-08-20T01:51:46ZengJaypee Brothers Medical PublisherJournal of Foot and Ankle Surgery (Asia Pacific)2348-280X2394-77052024-04-01112687210.5005/jp-journals-10040-13354Posterior Approaches in the Treatment of Tibial Pilon FracturesRobert P Dunbar0Robert P Dunbar, Department of Orthopedic Surgery and Sports Medicine, University of Washington, Seattle, Washington, United States, Phone: +12067443298Tibial pilon fractures remain a challenge for surgeons. The majority of these fractures are treated with anterior approaches. Select complex fractures require (typically additional) posterior approaches to obtain appropriate reduction and stabilization of the articular surface. Posterior approaches may be undertaken with the patient in the prone or semilateral position. The semilateral position may allow for simultaneous treatment and easy adjustment of reduction or fixation without repositioning the patient. The posterolateral approach has been commonly used by surgeons, often in conjunction with fixation of the fibula. Posteromedial approaches have been used less frequently but appear to offer significant versatility and greater access to more of the posterior column than posterolateral approaches.https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1335complex ankle fracturespilon fractureposterior malleolus |
| spellingShingle | Robert P Dunbar Posterior Approaches in the Treatment of Tibial Pilon Fractures Journal of Foot and Ankle Surgery (Asia Pacific) complex ankle fractures pilon fracture posterior malleolus |
| title | Posterior Approaches in the Treatment of Tibial Pilon Fractures |
| title_full | Posterior Approaches in the Treatment of Tibial Pilon Fractures |
| title_fullStr | Posterior Approaches in the Treatment of Tibial Pilon Fractures |
| title_full_unstemmed | Posterior Approaches in the Treatment of Tibial Pilon Fractures |
| title_short | Posterior Approaches in the Treatment of Tibial Pilon Fractures |
| title_sort | posterior approaches in the treatment of tibial pilon fractures |
| topic | complex ankle fractures pilon fracture posterior malleolus |
| url | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1335 |
| work_keys_str_mv | AT robertpdunbar posteriorapproachesinthetreatmentoftibialpilonfractures |