Injury Pattern Recognition and Surgical Technique of Pilon Fracture Reduction With Posterior Tibial Tendon Incarceration.


Journal

Journal of orthopaedic trauma
ISSN: 1531-2291
Titre abrégé: J Orthop Trauma
Pays: United States
ID NLM: 8807705

Informations de publication

Date de publication:
01 05 2023
Historique:
medline: 24 4 2023
pubmed: 25 8 2022
entrez: 24 8 2022
Statut: ppublish

Résumé

Pilon fractures occur over a broad spectrum of injury severity and soft-tissue compromise. This article will review a distinct pilon injury variant characterized by posterior tibial tendon incarceration in posteromedial pilon fracture propagation. This injury pattern is vital to recognize preoperatively because failure to mobilize the entrapped posterior tibial tendon (PTT) will result in fracture malreduction and postoperative loss of PTT excursion. In addition, the authors' preferred surgical technique for PTT mobilization and anatomic fracture reduction is described.

Identifiants

pubmed: 36001988
doi: 10.1097/BOT.0000000000002477
pii: 00005131-202305000-00016
doi:

Types de publication

Review Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e227-e231

Informations de copyright

Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

The authors report no conflict of interest.

Références

Carbonell-Escobar R, Rubi-Suarez JC, Ibarzabal-Gil A, et al. Analysis of the variables affecting outcome in fractures of the tibial pilon treated by open reduction and internal fixation. J Clin Orthop Trauma . 2017;8:332–338.
Burton PD, Page BJ. Fracture of the neck of the talus associated with a trimalleolar ankle fracture and ruptured tibialis posterior tendon. J Orthop Trauma. 1992;6:248–251.
Ermis MN, Yagmurlu MF, Kilinc AS, et al. Irreducible fracture dislocation of the ankle caused by tibialis posterior tendon interposition. J Foot Ankle Surg. 2010;49:166–171.
Khudairy A, Zafar MM, Padinjarathala BA. The unexpected with ankle fracture: traumatic tibialis posterior tendon dislocation: a case report and literature review. Foot Ankle Spec. 2013;6:482–489.
Wardell RM, Hanselman AE, Daffner SD, et al. Posterior tibialis tendon rupture in a closed bimalleolar-equivalent ankle fracture: case report. Foot Ankle Spec. 2017;10:572–577.
Colomb E, Muscatelli S, Morash JG, et al. Irreducible fractures and dislocation of the ankle associated with entrapment of the posterior tibial tendon within the tibiofibular interosseous space: a case series and literature review. Foot Ankle Orthop. 2021;6:24730114211000297.
Hikichi T, Matsubara H, Shimokawa K, et al. Equinus deformity and malunion of the medial malleolus caused by tibialis posterior tendon interposition following irreducible fracture dislocation of the ankle: a case report and literature review. Trauma Case Rep. 2022;38:100618.
Eastman JG, Firoozabadi R, Benirschke SK, et al. Entrapped posteromedial structures in pilon fractures. J Orthop Trauma . 2014;28:528–533.
Ballard DH, Campbell KJ, Blanton LE, et al. Tendon entrapments and dislocations in ankle and hindfoot fractures: evaluation with multidetector computed tomography. Emerg Radiol . 2016;23:357–363.
Fokin A Jr, Huntley SR, Summers SH, et al. Computed tomography assessment of peroneal tendon displacement and posteromedial structure entrapment in pilon fractures. J Orthop Trauma . 2016;30:627–633.

Auteurs

Joseph T Labrum (JT)

Department of Orthopaedic Surgery, Vanderbilt Medical Center, Nashville, TN.

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