Ruedi-Allgower Classification Flashcards
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Questions and Answers

What is it form?

Pilon Fractures (All are intraarticular)

What is the Ruedi-Allgower Classification based off of?

Degree of articular comminution and fragment displacement

What is Ruedi Allgower Type 1?

Non-displaced (& non-comminuted) intraarticular fracture

What is Ruedi Allgower Type 2?

<p>Displaced but not comminuted intraarticular fracture</p> Signup and view all the answers

What is Ruedi Allgower Type 3?

<p>Comminuted and displaced intraarticular fracture</p> Signup and view all the answers

What is a pilon fracture?

<p>Intraarticular fracture of the weight-bearing dome of the distal tibia</p> Signup and view all the answers

How is a pilon fracture different from an ankle fracture?

<p>Ankle involves the malleoli and don't involve the weight-bearing surface of the joint; involve the weight-bearing surface of the distal tibia and may/may not have metaphyseal extension</p> Signup and view all the answers

Are plain x-rays good enough for a pilon fracture?

<p>False (B)</p> Signup and view all the answers

What are the surgical goals of pilon fractures?

<p>Maintain fibular length and stability, restore the articular surface, stabilize the distal tibia, and bone graft if necessary.</p> Signup and view all the answers

What products do we have for pilon fractures?

<p>Evos Small, Evos Mini, 4.0 Cannulated Screws, Small Cannulated Screws, Taylor Spatial Frame, Jet-X Large, Jet-X Mini, ILIZAROV</p> Signup and view all the answers

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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Test your knowledge on the Ruedi-Allgower Classification of Pilon fractures with these flashcards. Each card covers key concepts, definitions, and types related to intraarticular fractures. Perfect for students and professionals in the medical field focusing on orthopedic injuries.

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