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Orthopaedics

Distal Tibia (Pilon) Fractures (AO Based)

Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)

What’s inside

1 sections · 99 slides

  1. 01

    Overview

    • Introduction
    • Distal tibia fractures: key principles
    • Distal tibia fractures: key principles
    • Anatomy and biomechanics
    • Articular fragments and their ligaments
    • Articular fragments and their ligaments
    • Role of the fibula
    • Role of the fibula
    • Varus versus valgus pilon patterns
    • Varus versus valgus pilon patterns
    • Structures at risk around the distal tibia
    • Structures at risk around the distal tibia
    • Clinical and radiographic assessment
    • Clinical assessment
    • Clinical assessment
    • Imaging and preoperative planning
    • AO/OTA classification
    • AO/OTA type A: extraarticular (43A)
    • AO/OTA type B: partial articular (43B)
    • AO/OTA type B: partial articular (43B)
    • AO/OTA type C: complete articular (43C)
    • AO/OTA type tree for the distal tibia
    • AO/OTA type tree for the distal tibia
    • Fracture types as drawn by AO
    • Fracture types as drawn by AO (cont.)
    • Soft tissues and staged treatment
    • Single-stage or staged surgery
    • Staged treatment of open pilon fractures
    • Staged treatment of open pilon fractures
    • Temporary stabilization options
    • Temporary stabilization options (cont.)
    • Joint-bridging triangular frame
    • Joint-bridging triangular frame
    • Extraarticular fractures (43A)
    • Extraarticular fractures: principles
    • Treatment options: 43A fractures
    • Treatment options: 43A fractures (cont.)
    • Decision logic: 43A fractures
    • Decision logic: 43A fractures
    • Definitive cast treatment
    • Intramedullary nailing: principles
    • Intramedullary nailing: principles
    • Intramedullary nailing: operative steps
    • Intramedullary nailing: operative steps
    • Poller screws: valgus versus varus
    • Poller screws: valgus versus varus
    • MIO plating: operative steps
    • MIO plating: operative steps
    • Lag screw and protection plate (43A2)
    • Lag screw and protection plate (43A2)
    • Partial articular fractures (43B)
    • Partial articular fractures: principles
    • Partial articular fractures: principles
    • Treatment options: 43B fractures
    • Treatment options: 43B fractures (cont.)
    • Split-depression patterns and approach
    • ORIF of a partial articular split
    • ORIF of a partial articular split
    • Syndesmotic assessment and fixation
    • Syndesmotic assessment and fixation
    • Medial split depression: sequence
    • Medial split depression: sequence
    • Aftercare: partial articular fractures
    • Aftercare: partial articular fractures
    • Complete articular fractures (43C)
    • Complete articular fractures: principles
    • Complete articular fractures: principles
    • Treatment options: 43C fractures
    • Treatment options: 43C fractures (cont.)
    • Choosing the approach
    • Choosing the approach
    • Anterolateral versus anteromedial approach
    • Anterolateral versus anteromedial approach
    • Anterolateral approach
    • Anterolateral approach
    • Anteromedial approach
    • Anteromedial approach
    • Posterior approaches
    • Posterior approaches
    • Patient positioning
    • Patient positioning
    • Articular reduction: anterolateral ORIF
    • Articular reduction: anterolateral ORIF
    • Plating complete articular fractures
    • Impaction, defects and bone graft
    • Impaction, defects and bone graft
    • Full ring fixator: frame construction
    • Full ring fixator: frame construction
    • Aftercare and complications
    • Aftercare after plating or nailing
    • Complications and their prevention
    • Complications and their prevention
    • Take-home messages
    • References (1 of 5)
    • References (2 of 5)
    • References (3 of 5)
    • References (4 of 5)
    • References (5 of 5)
    • Join our WhatsApp groups

    99 slides