Abstract
A pilon fracture is a fracture into the articular surface of the distal tibia. The complexity of this injury and problem in its treatment are detailed in a fascinating monograph by the French radiologist Chaput. His name is memorialized in the eponym “Chaput’s tubercle” for the important anterolateral corner of the distal tibia, which contains the origin of the anteroinferior tibiofibular ligament – the cinch for the tibiofibular syndesmosis [1]. Reassembly of the distal articular surface is detailed in Lambotte’s books on fracture fixation [2]. It was, however, not until the Swiss Fracture group began their historic systematic approach to the operative treatment of fractures that the “pilon fracture” was categorized and regularly repaired surgically.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Chaput HV. Les fractures malléolaires du cou-de-pied et les accidents du travail. Paris, 1907.
Lambotte A. Chirurgie opératoire des fractures. Paris: Masson & Cie Éditeurs; 1913.
Muale G, Seligson D. Fractures through the distal weight-bearing surface of the tibia. Orthopedics. 1980;3:517–21.
Ruedi TP, Allgower M. Fractures of the lower end of the tibia into the ankle joint. Injury. 1969;1(2):92–9.
Smith W. Letters to the editor. Re: surgical options for the treatment of severe tibial pilon fractures: a story of three techniques. J Orthop Trauma. 2001;15(8):591.
Blauth M, Bastian L, Krettek C, Knop C, Evans S. Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques. J Orthop Trauma. 2001;15(3):153–60.
Mauffrey C, Klutts P, Seligson D. Surgical techniques: how I do it? Mini open reduction and fixation of calcaneal fractures with fine wire circular frames. Eur J Orthop Surg Traumatol. 2010. doi:10.1007/s00590-010-0678-5.
Mauffrey C, Klutts P, Seligson D. The use of circular fine wire frames for the treatment of displaced intra-articular calcaneal fractures. J Orthop Traumatol. 2009;10(1):9–15.
Alt V, Nawab A, Seligson D. Bone grafting from the proximal tibia. J Trauma Injury Infect Crit Care. 1999;47(3):555–7.
Mauffrey CP, Seligson D, Krikler S. Surgical techniques: how I do it? Bone graft harvest from the proximal lateral tibia. Injury. 2010;41(2):242–4.
Newman SDS, Mauffrey CPC, Krikler S. Distal metadiaphyseal tibial fractures. Injury. 2010;41(7):693–702.
David Volgas J, DeVries G, Stannard JP. Short-term financial outcomes of pilon fractures. J Foot Ankle Surg. 2010;49(1):47–51.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer-Verlag London Limited
About this chapter
Cite this chapter
Mauffrey, C., Seligson, D., Heinsen, J. (2012). The Use of External Fixators in the Acute Management of Tibial Pilon Fractures. In: Seligson, D., Mauffrey, C., Roberts, C. (eds) External Fixation in Orthopedic Traumatology. Springer, London. https://doi.org/10.1007/978-1-4471-2197-8_9
Download citation
DOI: https://doi.org/10.1007/978-1-4471-2197-8_9
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-2199-2
Online ISBN: 978-1-4471-2197-8
eBook Packages: MedicineMedicine (R0)