Fixation of tibial pilon fractures based on column concept :a prospective study

Abstract

Distal tibia fractures are complex injuries with high complication rates. Limited soft tissue, poor vascularity and complexity of fracture pattern impose limitations for traditional plating techniques. Better understanding of fracture patterns using 3D-CT reconstruction, optimum pre-op planning and availability of anatomical locking plates have certainly improved the outcome in these fractures. We report the functional and radiological outcome in 12 patients of complex tibial pilon fractures, who were treated on the basis of the novel column concept.