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!
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INSIGHT

Mechanism and Nature of Fracture

  • Tibial plafond fractures often involve comminution, intraarticular extension, and major soft tissue injury.
  • They usually result from high-energy axial load driving the talus into the tibial plafond.
ADVICE

Imaging Recommendations

  • Obtain AP, lateral, and mortise ankle radiographs plus full-length tibia, fibula, and foot x-rays.
  • Include lumbar films if exam suggests associated injuries.
ADVICE

Treatment Options Overview

  • Use cast immobilization only for stable fractures without articular displacement or in patients with high surgical risks.
  • Employ temporary spanning external fixation for unstable fractures to stabilize and protect soft tissues.
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