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Wheeless' Textbook of Orthopaedics
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Tracking Pixel

Type II Pilon Frx



- Discussion:
    - comprises articular frx w/ articular incongruity but minimal comminution;
    - frx extend into the joint distally from a spiral frx of distal tibia
    - ankle mortise must be evaluated carefully to determine if fibular frx in question is part of
            joint injury or merely frx assoc w/ tibial shaft frx;
    - proximal frxs are reduced & fixed with lag screws;
    - articular reduction is fixed either definitively w/ lag screws initially or, if further adjustment
            is necessary, temporarily held w/ K wires until w/ subsequent application of dynamic
            compression plate, contoured to fit the medial aspect of the tibia;













Original Text by Clifford R. Wheeless, III, MD.