Tibial Plafond Anatomy

The tibial plafond lateral malleolus and medial malleolus form a mortise a socket in which the talus sits figure 2. Fracture of tibial weight bearing surface due to axial compression.

Tibia Anatomy

The distal portion of the tibia is known as the plafond which.

Tibial plafond anatomy. Especially vunerable over anteromedial tibia. Pilon fractures are caused by rotational or axial forces mostly as a result of falls from a height or motor vehicle accidents. These are considered to represent 1 10 of all lower limb fractures 6.

Although the ligaments are needed to give the ankle its full stability the bony congruity of the mortise and the talus is a necessary component as well forming the most congruent joint in the lower extremity. Rapid axial load very high energy. Radiographic examination of the ankle bones.

Distal tibia forms an inferior quadrilateral surface and pyramid shaped medial malleolus. Clinical features of pain swelling deformity and crepitus about the. The cause of tibial plafond fracture is axial or rotational forces occurring from motor vehicle accidents or falling from a height.

Tibial plafond fracture orif with anterolateral approach and plate fixation ankle and hindfoot ankle simple bimalleolar fracture orif with 13 tubular plate and cannulated screw of medial malleol. Articulates with the talus and fibula laterally via the fibula notch. Mechanism typically occurs as a result of an axial loading injury which drives the talus into the tibial.

A pilon fracture is a type of fracture involving the distal tibia. Tibial plafond fracture is an uncommon fracture occurring in the distal region of the tibia. Soft tissues very poor thin skin absence of muscle and adipose tissue lack of deep veins.

First branch of popliteal artery. Tibial plafond fractures introduction. Passes between 2 heads of tibialis posterior and interosseous membrane iom.

1 a pilon fracture also called a plafond fracture is a fracture of the distal part of the tibia involving its articular surface at the ankle joint. 11 originally proposed an anatomical nine zone grid scheme to the articular surface of the talus to more easily describe the location of an ocl and have also applied this to the articular surface of the distal tibial plafond figure 1. Anterior tibial artery.

Up to 50 incidence of associated injuries. Males 3 x. It involves the articular surface of the ankle joint.

Plafond fractures are infrequent injuries accounting for 7 10. It is also known as pilon fracture and explosion fracture. 35 40 years.

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