Management of Distal Tibial Intra-Articular Fractures

Description

In this engaging presentation, Dr. Deepa Bose discusses her extensive experience treating distal tibial intra-articular fractures, specifically focusing on pilon fractures. She begins her talk by expressing gratitude for the invitation and reassures the audience that her presentation is visually driven, ensuring ease of understanding.



Dr. Bose categorizes her experiences into good, bad, and horrifying cases. She presents several case studies, starting with a positive outcome involving a young girl with a high-energy injury who had successful treatment following a careful approach to her swelling and internal fixation.



Conversely, she details more complex cases involving older gentlemen suffering from severe, comminuted fractures requiring additional interventions such as external fixators and even free flap surgeries due to compromised soft tissue. Dr. Bose emphasizes the variances in individual cases and stresses the importance of soft tissue management in these injuries.



Further, she shares critical lessons learned, particularly focusing on the necessity of soft tissue resuscitation and the importance of external fixation to manage swelling and protect during the waiting period for surgeries. The talk also covers the challenges presented by diabetic patients in managing these fractures, highlighting the need for careful fixation planning due to their susceptibility to complications.



Dr. Bose wraps up her presentation by addressing the nuances of fibula fixation and how it impacts the overall treatment and stability of fracture repairs.



Her thorough exploration of pilon fracture management encapsulates the physical complexity, surgical intricacies, and the fundamental principles guiding effective treatment.

DOI: 10.1302/3114-221981

Specialties