Journal of Foot and Ankle Surgery (Asia Pacific)

Register      Login

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


Role of Arthroscopy in Pilon Fractures: How and When do I do It?

Amanda MY Slocum, Tun H Lui

Keywords : Ankle, Arthroscopy, Fracture, Pilon

Citation Information : Slocum AM, Lui TH. Role of Arthroscopy in Pilon Fractures: How and When do I do It?. J Foot Ankle Surg Asia-Pacific 2024; 11 (2):80-83.

DOI: 10.5005/jp-journals-10040-1328

License: CC BY-NC 4.0

Published Online: 02-04-2024

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


Pilon fracture is usually a high-energy trauma involving the soft tissue and bone. Operative treatment of complex intraarticular fractures of the distal tibia was historically fraught with difficulty and high complications rates. The importance of adequate soft tissue management when dealing with these high-energy injuries has became well-recognized as a crucial factor in determining the success of such surgeries. Arthroscopic assisted reduction of the fracture is attractive as it is a minimally invasive approach with less surgical trauma to the soft tissue and provides direct visualization of the articular surfaces, assessment of reduction of the articular fragments and detection of associated chondral injury. However, it is also time-consuming, technically demanding and requires a long learning curve. Its role in the management of pilon fractures appears limited and requires further study.

PDF Share
  1. Teeny SM, Wiss DA. Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clin Ortop 1993;(292):108–117.
  2. Sirkin M, Sanders R, DiPasquale T, et al. A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma 1999;13(2):78–84. DOI: 10.1097/00005131-199902000-00002
  3. Japjec M, Staresinić M, Culjak V, et al. The role of external fixation in displaced pilon fractures of distal tibia. Acta Clin Croat 2013;52(4):478–484.
  4. Miller MD. Arthroscopically assisted reduction and fixation of an adult tillaux fracture of the ankle. Arthroscopy 1997;13(1):117–119. DOI: 10.1016/s0749-8063(97)90220-6
  5. Leetun DT, Ireland ML. Arthroscopically assisted reduction and fixation of a juvenile Tillaux fracture. Arthroscopy 2002;18(4):427–429. DOI: 10.1053/jars.2002.31965
  6. Thaunat M, Billot N, Bauer T, et al. Arthroscopic treatment of a juvenile tillaux fracture. Knee Surg Sports Traumatol Arthrosc 2007;15(3):286–288. DOI: 10.1007/s00167-006-0234-3
  7. Panagopoulos A, van Niekerk L. Arthroscopic assisted reduction and fixation of a juvenile tillaux fracture. Knee Surg Sports Traumatol Arthrosc 2007;15(4):415–417. DOI: 10.1007/s00167-006-0152-4
  8. Bauer T. Arthroscopic management of pilon fracture and Talar fracture. Arthroscopy and Endoscopy of The Foot and Ankle: Principle and Practice, 1st Edition. Springer; 2019. pp. 89–92.
  9. Jennings MM, Lagaay P, Schuberth JM. Arthroscopic assisted fixation of juvenile intra-articular epiphyseal ankle fractures. J Foot Ankle Surg 2007;46(5):376–386. DOI: 10.1053/j.jfas.2007.07.001
  10. McGillion S, Jackson M, Lahoti O. Arthroscopically assisted percutaneous fixation of triplane fracture of the distal tibia. J Pediatr Orthop B 2007;16(5):313–316. DOI: 10.1097/BPB.0b013e3281568bab
  11. Nehme A, Tannous Z, Wehbe J, et al. Arthroscopically assisted reconstruction and percutaneous screw fixation of a pilon tibial malunion. J Foot Ankle Surg 2007;46(6):502–507. DOI: 10.1053/j.jfas.2007.08.010
  12. Kim HS, Jahng JS, Kim SS, et al. Treatment of tibial pilon fractures using ring fixators and arthroscopy. Clin Orthop Relat Res 1997;(334):244–250.
  13. Liu P, Guo Y, Wen Y, et al. Clinical application of arthroscopy-assisted minimally invasive therapy in Chinese elderly with type III Pilon fracture. Clin Interv Aging 2017;12:2033–2038. DOI: 10.2147/CIA.S140272
  14. Luo H, Chen L, Liu K, et al. Minimally invasive treatment of tibial pilon fractures through arthroscopy and external fixator-assisted reduction. Springerplus 2016;5(1):1923. DOI: 10.1186/s40064-016-3601-7
  15. Cetik O, Cift H, Ari M, et al. Arthroscopy-assisted combined external and internal fixation of a pilon fracture of the tibia. Hong Kong Med J 2007;13(5):403–405.
  16. El-Mowafi H, El-Hawary A, Kandil Y. The management of tibial pilon fractures with the Ilizarov fixator: the role of ankle arthroscopy. Foot (Edinb) 2015;25(4):238–243. DOI: 10.1016/j.foot.2015.08.004
  17. Atesok K, Doral MN, Whipple T, et al. Arthroscopy-assisted fracture fixation. Knee Surg Sports Traumatol Arthrosc 2011;19(2):320–329. DOI: 10.1007/s00167-010-1298-7
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.