M.E.Müller: Atlas: Fracture 43-B2

Tibia/Fibula, Distal,
partial articular fracture,
split-depression 0,16% of the total
0,86% of the tibia
4,45% of the segment

13 fractures
14,3% group
46%M, 54%F

47 fractures
51,6% group
57%M, 43%F

31 fractures
34,1% group
55%M, 45%F

Sagittal +Q Frontal +Q Of the central fragment +Q

These are partial articular fractures of the tibial pilon with displacement and depression (split-depression) of a central fragment. Ref. U. Heim. The pilon tibial fracture. WB Saunders. 1995.
Ref. U. Heim. The pilon tibial fracture. WB Saunders. 1995.

An accurate diagnosis, only possible by CT scan, is essential in these fractures. The depression of the central fragment must be precisely reduced to the talar dome and the resulting area of bone loss substituted by cancellous bone graft. The choice of the implant will depend on the plane of the fracture line, frontal or

sagittal: cloverleaf plates on the medial aspect of the pilon, of which one leaf can be cut for a better adaptation when necessary, or tubular plates on its anterior aspect. The plates will have a buttress function and their epiphyseal screws will reinforce the bone graft.

preoperative preoperative

postoperative postoperative

+ 2 years + 2 years




						Tibia/Fibula, Distal, partial articular fracture, split-depression	0,16% of the total 0,86% of the tibia 4,45% of the segment






These are partial articular fractures of the tibial pilon with displacement and depression (split-depression) of a central fragment.		Ref. U. Heim. The pilon tibial fracture. WB Saunders. 1995. Ref. U. Heim. The pilon tibial fracture. WB Saunders. 1995.

An accurate diagnosis, only possible by CT scan, is essential in these fractures. The depression of the central fragment must be precisely reduced to the talar dome and the resulting area of bone loss substituted by cancellous bone graft. The choice of the implant will depend on the plane of the fracture line, frontal or	sagittal: cloverleaf plates on the medial aspect of the pilon, of which one leaf can be cut for a better adaptation when necessary, or tubular plates on its anterior aspect. The plates will have a buttress function and their epiphyseal screws will reinforce the bone graft.