Podcast
Questions and Answers
What is it form?
What is it form?
Pilon Fractures (All are intraarticular)
What is the Ruedi-Allgower Classification based off of?
What is the Ruedi-Allgower Classification based off of?
Degree of articular comminution and fragment displacement
What is Ruedi Allgower Type 1?
What is Ruedi Allgower Type 1?
Non-displaced (& non-comminuted) intraarticular fracture
What is Ruedi Allgower Type 2?
What is Ruedi Allgower Type 2?
What is Ruedi Allgower Type 3?
What is Ruedi Allgower Type 3?
What is a pilon fracture?
What is a pilon fracture?
How is a pilon fracture different from an ankle fracture?
How is a pilon fracture different from an ankle fracture?
Are plain x-rays good enough for a pilon fracture?
Are plain x-rays good enough for a pilon fracture?
What are the surgical goals of pilon fractures?
What are the surgical goals of pilon fractures?
What products do we have for pilon fractures?
What products do we have for pilon fractures?
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Study Notes
Ruedi-Allgower Classification Overview
- Pilon fractures are classified as intraarticular fractures.
- The classification is based on the degree of articular comminution and the displacement of fragments.
Ruedi-Allgower Types
- Type 1: Non-displaced and non-comminuted intraarticular fracture.
- Type 2: Displaced but not comminuted intraarticular fracture.
- Type 3: Comminuted and displaced intraarticular fracture.
Pilon Fractures Explained
- A pilon fracture refers to an intraarticular fracture of the weight-bearing dome of the distal tibia.
- These differ from ankle fractures which involve the malleoli and typically do not affect the weight-bearing surface.
Diagnostic Imaging
- Plain x-rays are insufficient for diagnosing pilon fractures; advanced imaging techniques are required.
Surgical Goals for Pilon Fractures
- Focus on maintaining fibular length and stability.
- Restore the integrity of the articular surface.
- Stabilize the distal tibia and consider bone grafting when necessary.
- Use of internal fixation is not universally applicable; circular frames may be considered.
Surgical Products for Pilon Fractures
- Various products available include:
- Evos Small
- Evos Mini
- 4.0 Cannulated Screws
- Small Cannulated Screws
- Taylor Spatial Frame
- Jet-X Large
- Jet-X Mini
- ILIZAROV system
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