Injury Pattern Recognition and Surgical Technique of Pilon Fracture Reduction With Posterior Tibial Tendon Incarceration. Issue 5 (May 2023)

• Record Type: Journal Article
• Authors: Labrum, Joseph T.; Gallagher, Bethany; Boyce, Robert H.
• Is Part Of: Journal of orthopaedic trauma. Volume 37:Issue 5(2023)
• Page Start: e227
• Page End: e231
• Publication Date: 2023-05
• Subjects: Pacman lesion -- pilon fracture -- posterior tibial tendon -- incarceration -- trauma; Orthopedics -- Periodicals; Wounds and injuries -- Periodicals; Orthopedics -- Periodicals; Wounds and Injuries -- therapy -- Periodicals; Periodicals; 617.47044
• DOI: 10.1097/BOT.0000000000002477
• Languages: English
• ISSNs: 0890-5339

Abstract

Abstract : Supplemental Digital Content is Available in the Text. Summary: Pilon fractures occur over a broad spectrum of injury severity and soft-tissue compromise. This article will review a distinct pilon injury variant characterized by posterior tibial tendon incarceration in posteromedial pilon fracture propagation. This injury pattern is vital to recognize preoperatively because failure to mobilize the entrapped posterior tibial tendon (PTT) will result in fracture malreduction and postoperative loss of PTT excursion. In addition, the authors' preferred surgical technique for PTT mobilization and anatomic fracture reduction is described.