title: Irreducible tibial pilon fracture caused by incarceration of the fibula in the tibial medullary canal.
abstract: Fractures can be irreducible for several reasons, including soft tissue or bone fragment interposition. We report an unusual fracture configuration of a comminuted tibial pilon fracture in which the distal fibular shaft fragment was occupying the medullary canal of the proximal tibial shaft fragment and inhibiting reduction and fixation. To the best of our knowledge, this has not been previously reported in a published study.
authors.affiliation: Department of Trauma and Orthopaedic Surgery, St. James's Hospital, Dublin, Republic of Ireland. prasad.ellanti@gmail.com
authors.forename: Prasad
authors.initials: P
authors.lastname: Ellanti
authors.forename: Yassir
authors.initials: Y
authors.lastname: Hammad
authors.forename: Damir
authors.initials: D
authors.lastname: Kosutic
authors.forename: Philip P
authors.initials: PP
authors.lastname: Grieve
mesh_terms: D001860:Bone Plates; D005360:Fibula / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D015599:Trauma Severity Indices