Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 11 , ISSUE 2 ( April-June, 2024 ) > List of Articles


Posterior Approaches in the Treatment of Tibial Pilon Fractures

Robert P Dunbar

Keywords : Complex ankle fractures, Pilon fracture, Posterior malleolus

Citation Information : Dunbar RP. Posterior Approaches in the Treatment of Tibial Pilon Fractures. J Foot Ankle Surg Asia-Pacific 2024; 11 (2):68-72.

DOI: 10.5005/jp-journals-10040-1335

License: CC BY-NC 4.0

Published Online: 02-04-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Tibial pilon fractures remain a challenge for surgeons. The majority of these fractures are treated with anterior approaches. Select complex fractures require (typically additional) posterior approaches to obtain appropriate reduction and stabilization of the articular surface. Posterior approaches may be undertaken with the patient in the prone or semilateral position. The semilateral position may allow for simultaneous treatment and easy adjustment of reduction or fixation without repositioning the patient. The posterolateral approach has been commonly used by surgeons, often in conjunction with fixation of the fibula. Posteromedial approaches have been used less frequently but appear to offer significant versatility and greater access to more of the posterior column than posterolateral approaches.

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