The Orthobullets Podcast
Foundations⎪Trauma⎪Tibial Plafond Fractures
Apr 19, 2025
Dive into the world of tibial plafond fractures, exploring their causes and symptoms. Discover essential imaging techniques and a range of treatment methods. The discussion is bolstered by real-life case studies, reinforcing the management of these complex injuries. Perfect for those looking to strengthen their foundational knowledge in orthopedic trauma!
12:44
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Quick takeaways
- Tibial plafond fractures, caused by high-energy axial loads, require comprehensive assessment and accurate imaging for effective diagnosis and treatment.
- Management strategies vary from non-operative treatments for stable fractures to staged surgical approaches for complex injuries, enhancing recovery outcomes.
Deep dives
Understanding Tibial Plafond Fractures
Tibial plafond fractures, also known as pylon fractures, occur at the distal end of the tibia and are characterized by significant comminution and intraarticular extension. They commonly result from high-energy axial loads, such as falls from height or motor vehicle accidents, and make up about 5 to 10 percent of all tibia fractures. Presentation includes severe ankle pain, deformity, and an inability to bear weight, alongside exam findings like swelling, ecchymosis, and potential open wounds. Diagnosis is confirmed through clinical evaluation and imaging, including various X-ray views to assess fracture extent.
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