title: Surgical treatment of tibial plafond fractures.
abstract: Intra-articular fractures of the tibial plafond are typically the result of rotational or axial loading forces, and both mechanisms of injuries can result in an associated fibula fracture. Rotational distal tibial plafond fractures are typically of lower energy and are associated with less articular injury and chondral impaction, whereas axial load injuries of the distal tibial plafond are associated with a higher incidence of intra-articular and soft tissue injury. The goal of this article is to review the mechanisms of injury, fracture patterns, and potential complications associated with the most common presentations of tibial plafond fractures.
authors.affiliation: Foot and Ankle Surgery, VSAS Orthopaedics, Lehigh Valley Hospital, 1250 South Cedar Crest Boulevard, Suite # 110, Allentown, PA 18103, USA; Penn State College of Medicine, 500 University Drive, Hershey, PA 17033, USA. Electronic address: jostaple@hotmail.com.
authors.forename: John J
authors.initials: JJ
authors.lastname: Stapleton
authors.affiliation: Reconstructive Foot and Ankle Surgery, Division of Podiatric Medicine and Surgery, Department of Orthopaedic Surgery, University of Texas Health Science Center San Antonio, 7703 Floyd Curl Drive MSC 7776, San Antonio, TX 78229, USA.
authors.forename: Thomas
authors.initials: T
authors.lastname: Zgonis
mesh_terms: D016512:Ankle Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016267:External Fixators; D005593:Fracture Fixation, Internal / Q000379:methods*; D017102:Fracture Healing / Q000502:physiology; D018460:Fractures, Comminuted / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D057072:Intra-Articular Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D009104:Multiple Trauma / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D012086:Reoperation; D017695:Soft Tissue Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D013978:Tibial Fractures / Q000150:complications / Q000175:diagnosis / Q000601:surgery*
keywords: External fixation; Internal fixation; Pilon fractures; Reconstruction; Surgery; Tibial plafond fractures