Pilon fracture

Background

  • axial loading injury

Diagnosis

  • suspect other Fx as well
    • calcaneal,talar dome, tibial plateau, femoral neck,acetabular,L spine

watch for compartment syndrome!

Prognosis

  • common to have poor outcomes
    • up to 10-55% complication rate
  • non-union rates from 25 up to 100% with severe Fx
  • malunion rates up to 42% in some series
  • post-traumatic arthritis extremely common.

See Also