ReviewFrontiers in surgery2021
Management of Pilon Fractures-Current Concepts.
Review in Frontiers in surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Bilateral Cedell Fractures of the Talus Associated with Ankle Fractures in a Polytrauma Patient: A Rare Injury Managed with Damage Control Orthopedics and Staged Fixation.Journal of orthopaedic case reports · 2026Article
- Foot and ankle biomaterials: a comprehensive review of current applications, challenges, and future directions.Journal of orthopaedic translation · 2026Review
- Risk of Total Ankle Arthroplasty or Ankle Fusion Following Distal Tibial Fractures: A Systematic Review and Meta-Analysis.Journal of functional morphology and kinesiology · 2026Review
- Explainable machine learning for perioperative surgical site infection risk enrichment after operative treatment of closed pilon fractures: a multicenter retrospective study with external validation.Frontiers in surgery · 2026Article
- Article
- Tibiotalar Nailing for Geriatric Pilon Fractures: Case Report and Review of the Literature.Journal of orthopaedic case reports · 2025Article
- Balance Assessment Under Different Conditions in Patients with Surgically Treated Pilon Fracture Compared to Healthy Controls: A Pilot Study.Life (Basel, Switzerland) · 2025Article
- Swollen Ankle Fractures: What Predicts Delays in Definitive Fixation?Journal of clinical practice and research · 2025Article
- Virtual reality-enhanced rehabilitation for improving musculoskeletal function and recovery after trauma.Journal of orthopaedic surgery and research · 2025Review
- Internal Plate Fixation of Comminuted Fracture of the Distal End of the Tibia and Fibula Using a Single-Incision Technique: A Novel Approach and a Series of Nine Cases.Journal of orthopaedic case reports · 2025Article
- Article
- Play Turned Painful: A Teenager's Tibial Pilon Fracture from A Simple Jump.Clinical practice and cases in emergency medicine · 2025Article
- Optimal biomechanical choice of implant placement in various pilon fracture types: a finite element study.BMC musculoskeletal disorders · 2024Article
- Article
- How Effective is Fibula Pro Tibia Plating in Treatment of Distal Tibial Fractures: A Pilot Study.Malaysian orthopaedic journal · 2024Article
- Weight-bearing Guidelines for Common Geriatric Upper and Lower Extremity Fractures.Current osteoporosis reports · 2023Review
- Comparison between Exercise Program-Foot Orthoses Treatment and Exercise Program Alone after Pilon Fracture Surgery: Study Protocol for a Randomized Controlled Trial.Life (Basel, Switzerland) · 2023Article
- Treatment strategies for complex ankle fractures-current developments summarized in a narrative review.Annals of translational medicine · 2023Review
- Article
- Distal Tibia Fractures: is the Tibia First Technique a Rational Approach?Malaysian orthopaedic journal · 2023Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Tibial pilon fractures were first described by Étienne Destot in 1911. He used the French word "pilon" (i.e., pestle), to describe the mechanical function of the distal tibia in the ankle joint. This term has further been used to portray the mechanism involved in tibial pilon fractures in which the distal tibia acts as a pestle with heavy axial forces over the talus basically causing the tibia to burst. Many different classification systems exist so far, with the AO Classification being the most commonly used classification in the clinical setting. Especially Type C fractures are extremely difficult to manage as the high energy involved in developing this type of injury frequently damages the soft tissue surrounding the fracture zone severely. Therefore, long -term outcome is often poor and correct initial management crucial. In the early years of this century treatment has evolved to a two-staged protocol, which nowadays is the gold standard of care. Additional methods of treating the soft tissue envelope are currently being investigated and have shown promising results for the future. The aim of this review is therefore to summarize protocols in managing these difficult fractures, review the literature on recent developments and therefore give surgeons a better understanding and ability to handle tibial pilon fractures.
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