title: Anterolateral Approach to the Pilon.
abstract: This video reviews the indications, surgical approach, and case examples of the anterolateral approach to a distal tibial plafond fracture. If this approach is used in a staged fashion, when the soft envelope is ready, it affords excellent visualization for fracture fixation through thick skin flaps. An associated article reviews a cohort of 44 mainly type C3 pilon injuries treated by 2 orthopaedic traumatologist using the anterolateral approach after staged external fixation. An anatomic or good fracture reduction was obtained in 41 fractures with 13.6% of patients undergoing a secondary surgical procedure for infection or nonunion.
authors.affiliation: *Oklahoma University Health Science Center, Oklahoma City, OK; and †Hospital for Special Surgery, New York, NY.
authors.forename: Lindsay E
authors.initials: LE
authors.lastname: Hickerson
authors.forename: Diederik O
authors.initials: DO
authors.lastname: Verbeek
authors.forename: Craig E
authors.initials: CE
authors.lastname: Klinger
authors.forename: David L
authors.initials: DL
authors.lastname: Helfet
mesh_terms: D064386:Ankle Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D003131:Combined Modality Therapy / Q000295:instrumentation / Q000379:methods; D019317:Evidence-Based Medicine; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D000070799:Open Fracture Reduction / Q000295:instrumentation* / Q000379:methods*; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome