Abstract
Pilon fractures are notoriously difficult injuries to treat. The current published
data on salvage procedures after failed pilon fractures includes both total ankle
arthroplasty (TAA) and tibiotalar fusion, each with its own specific indications.
However, no acceptable treatment algorithm addressing the complications of these limb
salvage procedures is available. We present the case of a 23-year-old patient, who
sustained a complex pilon fracture after a motor vehicle accident. The patient was
referred to our institution after an initial fixation attempt, followed by subsequent
failed TAA, which was complicated by an infected fusion attempt. We describe a staged
treatment approach to clearing the infection and obtaining the final fusion goals.
Level of Clinical Evidence
Keywords
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Article info
Publication history
Published online: June 20, 2017
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2017 by the American College of Foot and Ankle Surgeons. All rights reserved.
