Foot & Ankle

Pilon Fractures of the Ankle

A pilon fracture is a break in the end of the shinbone, or tibia, near the ankle. These complex fractures can occur in a variety of different patterns.

 

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What is a Pilon Fracture of the Ankle?

Causes, Symptoms, and Diagnosis

Pilon fractures most often result from a crushing force caused by high-energy trauma, such as a motor vehicle accident or fall from a height. These fractures may extend into the ankle joint and can result in multiple broken pieces, breaks through the skin, or other injuries.

 

Pilon Fractures of the Ankle: Overview
Duration: 3m

 

Pilon Fracture of the Ankle Treatment

With and Without Surgery

While a cast and staying off the affected leg can help a pilon fracture heal, most cases of pilon fractures need surgery to realign and stabilize the broken bone. Surgery may involve the use of temporary and permanent metal hardware outside and inside the ankle joint.

 

Pilon Fractures of the Ankle: Treatment Options
Duration: 4m

 

Pilon Fracture of the Ankle Surgery

Surgical Animation

Plates and screws can be used to stabilize a pilon fracture. Often, a temporary external fixator is used before surgery to align the foot and ankle to help with healing. In some cases, an ankle joint fusion may be needed to allow a pilon fracture to heal fully.

 

Pilon Fractures of the Ankle: Fixation With a Plate and Screws Animation
Duration: 2m