Know how you can contact your healthcare provider if you have questions, especially after office hours or on weekends and holidays. Proper radiographs and advanced imaging should be obtained for an. One should have a low threshold for staged protocols and delayed definitive fixation to avoid complications. The timing and type of definitive fixation is dictated by the soft tissue injury and energy imparted to the fracture. If you have a follow-up appointment, write down the date, time, and purpose for that visit. Pilon fractures include a wide range of complexity. Know what to expect if you do not take the medicine or have the test or procedure. Know why a test or procedure is recommended and what the results could mean. Also know what the side effects are and when they should be reported.Īsk if your condition can be treated in other ways. Know why a new medicine or treatment is prescribed, and how it will help you. Also write down any new instructions your provider gives you. Know the reason for your visit and what you want to happen.īefore your visit, write down questions you want answered.īring someone with you to help you ask questions and remember what your provider tells you.Īt the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Tips to help you get the most from a visit to your healthcare provider: If you smoke, your healthcare provider may encourage you to stop smoking because this can interfere with bone healing as well. This is because these may interfere with bone healing. Your surgeon may ask you to not take some kinds of over-the-counter medicines for pain. Your surgeon might also give you instructions about your diet, like making sure you get a diet with a lot of calcium, vitamin D, and protein. Your surgeon also might prescribe a medicine (blood thinner) to prevent blood clots in your leg while you recover. A tibial plafond fracture (also known as a pilon fracture) is a fracture of the distal end of the tibia, most commonly associated with comminution, intra-articular extension, and significant soft tissue injury. You’ll need to use crutches or a cane for several months after your injury. These exercises will help restore and maintain your range of motion and strength. Depending on the extent of your injuries, your surgeon might do this in two separate surgeries.Īfter your leg has healed a little, your surgeon may prescribe a removable brace or splint, so that you can do physical therapy when you remove it. A pilon fracture is a relatively rare bone break that happens at the bottom of your tibia (the larger of the two bones in your lower leg, or your shinbone) near your ankle. Your surgeon will use metal plates and screws through the bone to keep the bones in the correct position. This is done to permanently put your bones in the correct position to help them heal. While you wait, you might need to have a splint or other type of support.ĭuring surgery, your surgeon can do internal fixation. Your surgeon might delay your surgery until your swelling has gone down. This surgery is done by an orthopedic surgeon. If the bones of your pilon fracture are out of place, you will likely need surgery. Your healthcare provider might also advise nonsurgical treatment for your pilon fracture if you have other medical conditions that might make surgery more of a risk. Many different factors influence the post-operative ankle ORIF rehabilitation outcomes, including rate of healing, complexity of the fracture and/or need for. Splints, to initially hold your ankle in placeĬasts or boots, once your swelling goes down If the bones of your tibia still line up correctly, you might not need surgery. Some people with pilon fractures will not need surgery. Joint surface: <1 mm intraarticular step and <2 mm intraarticular gap.Īxial alignment: <5º of varus or valgus and <10 degrees of anterior or posterior angulation.įibular length and width of syndesmosis: <2 mm difference to the opposite, uninjured side.How is a pilon fracture of the ankle treated? Intraoperative fluoroscopy of the opposite (uninjured) leg may also be helpful. Therefore, reference should be made to radiographs of the intact opposite side. There is a considerable variation of anatomy in the ankle region, regarding tibial shaft alignment, length of the fibula in relation to the medial malleolus, and width of the syndesmosis. By physical exam, one should confirm rotational symmetry with the opposite side. Rotation is difficult to assess radiographically. For the joint, careful direct inspection and well positioned radiographs are essential. With complete articular fractures of the distal tibia, both the articular surface and the overall alignment must be addressed. Angulation, length of both tibia and fibula, and rotation need to be considered, as does the integrity of the ankle mortise. During the different steps of the operation, the reduction has to be assessed repeatedly using visual and fluoroscopic control.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |