The intent of this video is to provide a review for the most common questions asked about pilon fractures There may be confusion over some of the statements in the literature 1. When the patient is seen in the Emergency Room with a displaced Pilon Fracture, the fracture is reduced, the ankle is splinted, and the patient goes to the Operating Room usually for an external fixator within a reasonable period of time. Early plating of the tibia is not advisable. 2. After two years, most of the patients will have some pain. About 50% will have arthritis, arthrodesis is rare, and most of the patients will return to work. However, as time goes by, and at approximately 10 years, more patients have ankle pain. More patients have arthritis and a majority of patients cannot run and the fracture will have an effect on the general health of the patient. 3. The outcome of the patient depends on the socio-economic status of the patient. (I personally do not agree with that) The severity of the injury and the quality of reduction will affect the arthritis and probably affect the incidence and severity of arthritis and probably the functional outcome. There is a confusion in the literature related to the severity of the injury and the accuracy of reduction and the severity of arthritis and how this will affect the patient. It makes sense if the injury is bad and the reduction is bad and the patient has arthritis. The patient will not have a good outcome. I hope that this explanation will shed some light on the Pilon fracture.
Very informative article sir. Thank you. The same contraversy is present in any complex injury like AO C elbow or wrist injury need long term follow up. But there is some distinction between the complaint and the OA changes besibe the perfection of physiotherapy which is usually determined by the socio economic conditions of the patients. So that's why l think its affect the whole condition.
Thanks for this video. It’s pretty much exactly where I am today in hospital awaiting the next surgery after the rods have been placed for a tibia plafond
Dans le mécanisme des fractures de la pince malleolaire ,les factures par adduction ,yaura une mise en tension du ligament collatéral latéral ,soit il se rompt ,on est dans le cas d'une entorse soit il résiste et dès lors une aura une fracture de la la malléole externe
The intent of this video is to provide a review for the most common questions asked about pilon fractures There may be confusion over some of the statements in the literature
1. When the patient is seen in the Emergency Room with a displaced Pilon Fracture, the fracture is reduced, the ankle is splinted, and the patient goes to the Operating Room usually for an external fixator within a reasonable period of time. Early plating of the tibia is not advisable.
2. After two years, most of the patients will have some pain. About 50% will have arthritis, arthrodesis is rare, and most of the patients will return to work. However, as time goes by, and at approximately 10 years, more patients have ankle pain. More patients have arthritis and a majority of patients cannot run and the fracture will have an effect on the general health of the patient.
3. The outcome of the patient depends on the socio-economic status of the patient. (I personally do not agree with that)
The severity of the injury and the quality of reduction will affect the arthritis and probably affect the incidence and severity of arthritis and probably the functional outcome.
There is a confusion in the literature related to the severity of the injury and the accuracy of reduction and the severity of arthritis and how this will affect the patient. It makes sense if the injury is bad and the reduction is bad and the patient has arthritis. The patient will not have a good outcome.
I hope that this explanation will shed some light on the Pilon fracture.
Very informative article sir.
Thank you.
The same contraversy is present in any complex injury like AO C elbow or wrist injury need long term follow up.
But there is some distinction between the complaint and the OA changes besibe the perfection of physiotherapy which is usually determined by the socio economic conditions of the patients.
So that's why l think its affect the whole condition.
Great video sir. You have a really good team. Thank you for making them free too.
Fantastic. Thank you for taking the time to make this video. Very helpful to prepare for a case.
Can you take on another one? Lol
Awesome, vid... As always! Greetings from Brazil 🇧🇷 !🤝
Most excellent!
Thanks for this video. It’s pretty much exactly where I am today in hospital awaiting the next surgery after the rods have been placed for a tibia plafond
How are you doing two years later? I'm 5 weeks post ORIF for this type of fracture
@@stevej4328how are you doing now?
Thanks for sharing, it was really helpful
Always great videos. Thanks
Excellent
Hello, may i ask why in the case of an intact fibular bone there is a risk of collateral ligament rupture ?
Dans le mécanisme des fractures de la pince malleolaire ,les factures par adduction ,yaura une mise en tension du ligament collatéral latéral ,soit il se rompt ,on est dans le cas d'une entorse soit il résiste et dès lors une aura une fracture de la la malléole externe
i am orthopaedi,c surgeon,irequest you to upload vidio of various approach of pilon fracture .
Thank you very much for the educational video.
Thank you
Awesome 😍😍😍
nice one prof ..
Thank you sir.
Thanks
Sir I want to do fellowship
Which it's worse? This or tibial plateau fracture
this
I fractured my tibia but NOT the fibula.
I just want to say fuck this injury. I would have rather broken both of my arms. My leg is never gonna be the same and I am bitter. =[
How is your leg now, I just recently endured this injury type. sigh!!!
@@cemeter1832 how are you now? I have this too
how are u doing today ?
Here because of Dcigs
That injury looks like doom