| Titre : | New Principles in Pilon Fracture Management: Revisiting Rüedi and Allgöwer Concepts (2020) |
| Auteurs : | Christian Bastias ; Leonardo Lagos |
| Type de document : | Article |
| Dans : | Foot and Ankle Clinics (Vol. 25, n°4, Décembre 2020) |
| Article en page(s) : | p. 505-521 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Fractures du tibia ; Myopathie distale du muscle tibial antérieur ; Pilon tibial ; Tibia |
| Résumé : |
• The concepts of Rüedi and Allgöwer are still valid, but with modifications concerning a better understanding of the anatomy and mechanics of this fracture.
• Fibular fixation is not always the first stage, depending on the pattern and complexity of the fracture. • In the presence of severe intra-articular comminution, the quality of joint reduction can be sacrificed to prioritize stability and alignment. • Bone grafting is reserved for cases of substantial metaphyseal bone loss, and in general, in a delayed stage. • Not only does the medial column have to be stabilized, but all damaged pilars in the pilon fracture. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=www.sciencedirect.com/science/article/pii/S1083751520300929 |
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