Traumatology: Distal Tibial Fractures and
Pilon Fractures Exam Questions And
Answers Latest Update
The harsh reality of pilon and distal tibial fractures are that they
are... -
correct answer ✅∙A *life-altering* event.
∙*Excellent* outcomes are *rare*.
∙Fair-good outcomes are norm.
∙Poor outcomes are not unusual.
Pilon Fracture: Definition -
correct answer ✅fracture of the distal part of the tibia, involving
with intra-articular extension at the ankle joint.
→*talus is banging into plafond of tibia.*
Background: Pilon and Distal Tibial Fracture -
correct answer ✅∙Destot 1911.
→Pestle.
∙Fracture of the distal tibia *with* intra-articular extension.
∙High Energy
→Motor Vehicle Accident, Fall from height.
∙<10% of all tibial fractures.
∙1% of all Lower extremity fractures.
, Traumatology: Distal Tibial Fractures and
Pilon Fractures Exam Questions And
Answers Latest Update
*∙Fibular fracture 80-85%.*
∙¹/₄ open.
*∙¹/₃ associated injuries.*
→Talar dome
→Compartment syndrome
Insulting Structure: Pilon Fractures -
correct answer ✅∙Acts as the pestle.
∙High-energy axial loading injuries.
∙Non-rotational injuries.
Mercedes-Benz sign: -
correct answer ✅∙Talus impacted at central zone.
→Deltoids are intact as well as syndemosis.
∙*Anterolateral* fragment: also fractured into another piece called
the *die punch*.
∙Posterolateral fragment.
∙Medial fragment.
Pilon Fractures Exam Questions And
Answers Latest Update
The harsh reality of pilon and distal tibial fractures are that they
are... -
correct answer ✅∙A *life-altering* event.
∙*Excellent* outcomes are *rare*.
∙Fair-good outcomes are norm.
∙Poor outcomes are not unusual.
Pilon Fracture: Definition -
correct answer ✅fracture of the distal part of the tibia, involving
with intra-articular extension at the ankle joint.
→*talus is banging into plafond of tibia.*
Background: Pilon and Distal Tibial Fracture -
correct answer ✅∙Destot 1911.
→Pestle.
∙Fracture of the distal tibia *with* intra-articular extension.
∙High Energy
→Motor Vehicle Accident, Fall from height.
∙<10% of all tibial fractures.
∙1% of all Lower extremity fractures.
, Traumatology: Distal Tibial Fractures and
Pilon Fractures Exam Questions And
Answers Latest Update
*∙Fibular fracture 80-85%.*
∙¹/₄ open.
*∙¹/₃ associated injuries.*
→Talar dome
→Compartment syndrome
Insulting Structure: Pilon Fractures -
correct answer ✅∙Acts as the pestle.
∙High-energy axial loading injuries.
∙Non-rotational injuries.
Mercedes-Benz sign: -
correct answer ✅∙Talus impacted at central zone.
→Deltoids are intact as well as syndemosis.
∙*Anterolateral* fragment: also fractured into another piece called
the *die punch*.
∙Posterolateral fragment.
∙Medial fragment.
