Fixation of tibial pilon with one third tubular plate and screws for spongy bone tissue: Case report and bibliographic review

Adolfo Estrada-Aguirre; Fidel Antonio Martínez-Favela; Miguel Wong-Serrano; Juan Meneses- Arellano; Marco Antonio Guadarrama-Gutiérrez

2016, Number 2

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Rev Med MD 2016; 7.8 (2)

Fixation of tibial pilon with one third tubular plate and screws for spongy bone tissue: Case report and bibliographic review

Estrada-Aguirre A, Martínez-Favela FA, Wong-Serrano M, Meneses- Arellano J, Guadarrama-Gutiérrez MA

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Language: Spanish
References: 15
Page: 71-74
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ABSTRACT

Distal tibial fractures are one of the main reasons for consultation in the emergency department of Traumatology and Orthopedics, which entails a high cost and morbidity for the patient with slow recovery towards their work and recreation activities. The use of all resources in orthopedic surgery is a tool that should not be underestimated, the personality of the fracture should be valued and adjusted.
We present a clinical case of distal tibial fracture; with the objective of corroborating the surgical technique used, the rehabilitation and reincorporation to the activities of the daily life of the patient.
It is a male patient of 56 years of age, farmer, with no relevant medical history, who begins his current condition when he suffered a fall of 1.5 m in height with axial overload of lower limb in right ankle inversion.
The diagnosis of right distal tibial fracture with intraarticular line in medial malleolus is made. The initial management was the application of a cotton dressing and a short leg splint. One week later, definitive surgical treatment is performed with open reduction and internal fixation. Distal tibial fractures with medial malleolus line are rare compared to pure avulsion of medial malleolus. The use of the AO methodology indicates the validity of the use of the one third tubular plate as a support principle coupled with the use of sponge screws as interfragmentary compression.

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