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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.

Last updated by Clifford R. Wheeless, III, MD on Sunday, August 4, 2013 10:14 am