Open tibial pilon fracture with an extensive osteochondral defect: Staged reconstruction

The surgical treatment of large post-traumatic osteochondral defects related to open tibial pilon fractures is challenging. Staged treatment with soft tissue damage control and bone reconstruction in the second half is often the best therapeutic option. We present a technical tip using osteochondral...

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Bibliographic Details
Published inJournal of the Foot & Ankle (Online) Vol. 16; no. 2
Main Authors Samir Abd El Fatah, Eduardo Araujo Pires, Filipe Marques de Oliveira, Lucas Silveira Rabello de Oliveira, Fabio Correa Fonseca, Alexandre Leme Godoy-Santos
Format Journal Article
LanguageEnglish
Published Associação Brasileira de Medicina e Cirurgia do Tornozelo e Pé - ABTPé 01.08.2022
Subjects
Allograft
Tibial fractures
Trauma
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Summary:The surgical treatment of large post-traumatic osteochondral defects related to open tibial pilon fractures is challenging. Staged treatment with soft tissue damage control and bone reconstruction in the second half is often the best therapeutic option. We present a technical tip using osteochondral allograft to reconstruct an area with extensive bone loss in the distal tibial epiphysis after a gunshot wound, describing the treatment stages and good clinical results. Level of Evidence V; Therapeutic Studies; Expert Opinion.
ISSN:2675-2980