Fratura do pilão tibial

tratamento cirúrgico aberto pela via ântero-lateral e acesso minimamente invasivo medial

Abstract

Although tibial pilon fractures are infrequent, representing only approximately 1% of lower limb fractures, their treatment requires special attention. They are intra-articular fractures of the distal third of the tibia with metaphyseal extension, which result from high or low energy trauma. The trauma mechanism arises from an axial load applied to the foot, generating different fracture patterns depending on its position at the time of trauma. In addition, different degrees of damage may occur to the soft tissue, and its management is of fundamental importance for satisfactory outcomes. Treatment of these complex fractures has evolved substantially in recent decades, with a staged approach being an important part of this progress (initially external fixation, with subsequent definitive synthesis after improvement in the soft tissue condition), as well as adequate osteosynthesis.