The Posterior Approaches to the Posterior Pilon Fracture

Between simple malleolar fractures and more complex pilon injuries, is the posterior pilon fracture. Involving a variable amount of posterior tibial articular surface, these injuries may benefit from a posterior approach to reduce and stabilize the fragments. The posterolateral approach can be considered the “workhorse,” and allows good access to the tibia and fibula. The posteromedial approach may be helpful for more complex patterns, but is closer to the tibial neurovascular bundle. These approaches can be performed safely, with low complication rates and generally favorable outcomes. Level of Evidence: Diagnostic Level 4. See instructions for authors for a complete description of levels of evidence.
Source: Techniques in Foot and Ankle Surgery - Category: Orthopaedics Tags: Special Focus: Advances in Ankle Fracture Management Source Type: research