title: Early Tibiotalocalcaneal Arthrodesis Intramedullary Nail for Treatment of a Complex Tibial Pilon Fracture (AO/OTA 43-C).
abstract: Management of severely comminuted, complete articular tibial pilon fractures (AO/OTA 43-C) remains a challenge, with few treatment options providing good clinical outcomes. Open reduction and internal fixation of the tibial plafond, tibiotalar arthrodesis, and salvage hindfoot reconstruction procedures are all associated with surgical complications and functional limitations. In this report, we present a case of a complex pilon fracture in a patient with multiple medical comorbidities and socioeconomic disadvantages that was successfully and acutely treated with a retrograde tibiotalocalcaneal hindfoot arthrodesis nail. At final follow-up examination, the patient had decreased pain, a stable plantigrade foot, and could ambulate with normal shoes without any assistive devices.
  
  
  METHODS
  Therapeutic, Level IV: Case series.
authors.affiliation: Department of Orthopaedic Surgery, Rush University Medical Center (ARH), Chicago, IllinoisDepartment of Orthopaedic Surgery, John H. Stroger, Jr Hospital of Cook County (JPS), Chicago, Illinois andyhsu1@gmail.com.
authors.forename: Andrew R
authors.initials: AR
authors.lastname: Hsu
authors.affiliation: Department of Orthopaedic Surgery, Rush University Medical Center (ARH), Chicago, IllinoisDepartment of Orthopaedic Surgery, John H. Stroger, Jr Hospital of Cook County (JPS), Chicago, Illinois.
authors.forename: Jan P
authors.initials: JP
authors.lastname: Szatkowski
mesh_terms: D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D001174:Arthrodesis / Q000379:methods*; D001858:Bone Nails; D002111:Calcaneus / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation*; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D013997:Time Factors
keywords: ankle; arthrodesis; hindfoot; internal fixation; salvage; tibial plafond; tibiotalocalcaneal