![]() Foot and ankle orthopaedic surgeons do not routinely perform incisions through areas of damaged skin because doing so may result in wound healing problems. Often, pilon fracture surgery is done in two steps to protect the skin and soft tissue. The surgeon also may get a CT scan of your ankle to view all the broken areas of the tibia andįibula in order to assist in caring for your particular injury. The bones may be broken in multiple places. In addition, your surgeon will take X-rays of your leg and ankle to see how badly the tibia and fibula are broken. Your surgeon will be watchful for other injuries that may be present. ![]() The results of this exam will help the surgeon to determine how best to treat the pilon fracture. Take your medical history and perform a physical examination of your leg and ankle. Your foot and ankle orthopaedic surgeon will Common causes of pilon fractures are falls from heights and car accidents. Pilon fractures occur when the talus bone under the ankle joint is driven into the leg with such force that the leg bone(s) break at the ankle joint. Swelling occurs quickly and can be followed by bruising. They often result in an obvious deformity of the ankle joint. Symptoms include pain and inability to bear weight on the leg. Pilon fractures are very painful and debilitating injuries. Injuries can also occur with lower energy in individuals with weak bones (i.e., osteoporosis). In a pilon fracture, the tibia bone may be crushed into several pieces due to the typically high-energy impact of the injury. The word "pilon" (pronounced "pee-lahn") comes from the French and means "pestle." A pestle is a tool used for crushing or pounding things. ![]() Were first described more than 100 years ago and remain one of the most challenging problems for orthopaedic surgeons to treat. Pilon fractures are injuries that occur at the lower end of the tibia and involve the weightbearing surface of the ankle joint. The tibia (shin bone) and the fibula are the bones of the lower leg.
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