Citation

Gaulke R, Krettek C. Unfallchirurg 2017; 120(8): 658-666.

Vernacular Title

Pilon-tibiale-Frakturen : Vermeidung und Behandlung von Komplikationen.

Affiliation

Unfallchirurgische Klinik, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Copyright

(Copyright © 2017, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00113-017-0366-6

PMID

28540568

Abstract

Because of the complex fracture morphology and vulnerable soft tissue coverage, fractures of the tibial pilon are difficult to treat. Complications are more common than in bi- or trimalleolar fractures. The surgeon has to know about the special risks of these injuries to avoid complications. Early complications are soft tissue necrosis, persisting fragment dislocations after surgery, loss of reposition and deep wound infection. The surgeon has to be aware of early signs of compartment-syndrome and chronic regional pain syndrome (CRPS). In late complications such as bony necrosis with or without deviation, non-union and osteoarthrosis of the ankle joint give the surgeon more time for planning the therapy. Intensive monitoring until bone healing is necessary in tibial pilon fractures to detect complications early and start the therapy immediately. This kind of therapy results in the best outcome for these patients.

Language: de

Keywords

Chronic regional pain syndrome; Compartment Syndrome; Osteoarthrosis of the ankle joint; Tibial pilon fracture; Wound infection