Open tibial pilon fracture with an extensive osteochondral defect: Staged reconstruction

Authors

  • Samir Abd El Fatah Hospital Israelita Albert Einstein, São Paulo, SP, Brazil. https://orcid.org/0000-0002-3555-1334
  • Eduardo Araujo Pires Lab. Prof. Manlio Mario Marco Napoli, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil.
  • Filipe Marques de Oliveira Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
  • Lucas Silveira Rabello de Oliveira Hospital Israelita Albert Einstein, São Paulo, SP, Brazil.
  • Fabio Correa Fonseca Lab. Prof. Manlio Mario Marco Napoli, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil. https://orcid.org/0000-0002-8907-0472
  • Alexandre Leme Godoy-Santos Lab. Prof. Manlio Mario Marco Napoli, Instituto de Ortopedia e Traumatologia, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, SP, Brazil.

DOI:

https://doi.org/10.30795/jfootankle.2022.v16.1645

Keywords:

Trauma, Allograft, Tibial fractures

Abstract

The surgical treatment of large post-traumatic osteochondral defects related to open tibial pilon fractures is challenging. Staged treatment with soft tissue damage control and bone reconstruction in the second half is often the best therapeutic option. We present a technical tip using osteochondral allograft to reconstruct an area with extensive bone loss in the distal tibial epiphysis after a gunshot wound, describing the treatment stages and good clinical results. Level of Evidence V; Therapeutic Studies; Expert Opinion.

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Published

2022-08-31

How to Cite

Abd El Fatah, S. ., Araujo Pires, E. ., Marques de Oliveira, F. ., Silveira Rabello de Oliveira, L. ., Correa Fonseca, F. ., & Leme Godoy-Santos, A. . (2022). Open tibial pilon fracture with an extensive osteochondral defect: Staged reconstruction. Journal of the Foot & Ankle, 16(2), 183–187. https://doi.org/10.30795/jfootankle.2022.v16.1645