Nailed It Ortho
OITE/ Boards Review: F&A 08- Pilon Fractures
Sep 30, 2022
Dr. Cole, an orthopaedic expert, and Dr. Woolwine, a knowledgeable physician, delve into the complexities of pilon fractures. They discuss the significant role of early weight-bearing post-surgery and its influence on recovery. The conversation highlights the challenges of bone healing, especially in patients with complications like smoking or diabetes. With insights from the Rudy Agar classification and management strategies for soft tissue damage, they share crucial treatment approaches, emphasizing the need for thorough assessments and surgical preparedness.
24:25
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Quick takeaways
- Early weight bearing and rehabilitation post-ankle fracture significantly improve functional outcomes by preventing stiffness and enhancing recovery.
- Understanding complications like non-union and managing soft tissue injuries is critical in correctly treating tibia plafond fractures.
Deep dives
Early Mobilization Benefits
Early weight bearing and mobilization after open reduction internal fixation of ankle fractures leads to improved functional outcomes. Patients often exhibit caution about moving their injured ankle to avoid pain, but allowing them to start rehabilitation sooner ultimately prevents stiffness and enhances recovery. Immobilization for too long can hinder long-term mobility, so healthcare providers advocate for a more proactive approach in encouraging movement after the initial healing period. Research highlights that patients who engage in early rehabilitation experience better outcomes compared to those who remain immobilized for extended durations.
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