Rarely, less severe pilon fractures can be treated non-operatively in a plaster cast. Sometimes the surgeon may advocate an external fixation device such as an Ilizarov frame or Taylor Spatial frame, if plates and screws on the inside were deemed unsuitable but not many surgeons can perform this procedure, however Mr Roche does perform this surgery when necessary. The vast majority of injuries are treated with an operation to insert screws and plates to stabilise the break. The Orthopaedic foot and ankle surgeon will get a more detailed CT (computerised tomography) scan, which can give a 3D view of your ankle and help plan the treatment. How are these fractures accurately diagnosed?Īn X-Ray of the ankle is imperative. Once you are in hospital then a plaster cast splint can be applied which will give you enormous pain relief. These are best administered by suitably qualified medical personnel. The most effective way to treat the immediate symptoms of pain and swelling is to rapidly splint the limb and take effective pain-killers. Seek immediate help via the emergency services or a local hospital. The ankle swells up rapidly and can deform. It can also happen during a significant twist of your lower leg for example in fall during skiing or a more severe injury such as a road traffic collision.
Often from a severe upwards directed force through your ankle such as in a fall from a height. What sort of accidents or injury can cause a tibial Pilon fracture?
Hence injury is so-called because of the way it usually happens. In the ankle, if you land heavily on your ankle the bones in the ankle can impact forcefully together and the tibial bone or shin bone can break near the ankle. Pilon refers to the actions of a pestle crushing into a mortar. Pilon Fracture What is a Tibial Pilon fracture?
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