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Review
. 2023 May 1;37(5):e227-e231.
doi: 10.1097/BOT.0000000000002477.

Injury Pattern Recognition and Surgical Technique of Pilon Fracture Reduction With Posterior Tibial Tendon Incarceration

Joseph T Labrum 4th  1 , Bethany Gallagher, Robert H Boyce
Affiliations
Review

Injury Pattern Recognition and Surgical Technique of Pilon Fracture Reduction With Posterior Tibial Tendon Incarceration

Joseph T Labrum 4th et al. J Orthop Trauma. .

Abstract

Pilon fractures occur over a broad spectrum of injury severity and soft-tissue compromise. This article will review a distinct pilon injury variant characterized by posterior tibial tendon incarceration in posteromedial pilon fracture propagation. This injury pattern is vital to recognize preoperatively because failure to mobilize the entrapped posterior tibial tendon (PTT) will result in fracture malreduction and postoperative loss of PTT excursion. In addition, the authors' preferred surgical technique for PTT mobilization and anatomic fracture reduction is described.

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Conflict of interest statement

The authors report no conflict of interest.

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