Pilon Fracture: A Case Report of a 45-Year-Old Dental Technician
Pouya Mafi 1, James Stanley 2, Sandip Hindocha*, 3, Reza Mafi 4
Identifiers and Pagination:Year: 2014
Issue: Suppl 2: M6
First Page: 433
Last Page: 436
Publisher ID: TOORTHJ-8-433
Article History:Received Date: 25/5/2014
Revision Received Date: 11/8/2014
Acceptance Date: 10/9/2014
Electronic publication date: 31 /10/2014
Collection year: 2014
open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.5/) which permits unrestrictive use, distribution, and reproduction in any medium, provided the original work is properly cited.
Pilon fractures are complex and difficult-to-treat fractures of the lower extremity that account for about 1% of all lower extremity fractures and up to 10% of tibial fractures. The injury is caused by high energy axial load either from motor vehicle accidents or a fall from height. The treatment of these fractures has caused controversy among surgeons due to mixed outcomes. Here we report a case of pilon fracture in a 45 year old male patient who has sustained the injury as a result of a fall from a height of approximately 12 feet. We describe why it is absolutely crucial that the patient is treated with external fixation initially and evaluate its merits and drawbacks as well as ways to minimize the complications associated with external fixation of open intra-articular distal tibial fractures.