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General Moto | Off-Topic Posts
the medical details of my injury
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[QUOTE="mx547, post: 488634, member: 20697"] the following is the medical description of my broken leg. i've been having problems with it healing (or not healing). after reading this, i see it's not so unusual. i'm a little more concerned now too. i shouldn't have looked at this. my injury is the type III. my treatment was/is the external fixation with limited internal fixation. Tibial Plafond Fracture Description: Pilon fractures are a special subset of ankle fractures. They are intra-articular fractures of the distal tibia involving varying degrees of artcicular and metaphyseal injury. The word pilon comes from the french root meaning pestle or rammer conveying that the talus actually drives into the tibial articular surface. The distal tibia is also known as the plafond meaning roof (over the talus) and thus these fractures are also called Plafond Fractures. These are often devestating injuries. Appropriate Care: Type I- nondisplaced-minimally displaced respond well to closed therapy. Well padded splint, ice elevation non weight bearing. Can convert to a cast when swelling begins to subside. Type II&III- (displaced with minimal comminution or displaced with marked comminutoin respectively). These require surgical intervention and are associated with poor results and mutliple complications. There is currently a debate wether open reduction with internal fixation or External Fixation +/- limited internal fixation. In various clinical series the reported frequencies osteomyelitis, amputuation, ostoearthrosis, and nonunion as high 20%, 6%,54%, and 18% respectively. The current trend appears to be toward external fixation with limited internal fixation because of its equivalent clinical results and lower complication rate. There is not complete concensus on this issue. With severe injuries there is a role for pimary arthrodesis though this is rare and again the orthopedic community appears to trending away from this management. [/QUOTE]
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MX, SX & Off-Road Discussions
General Moto | Off-Topic Posts
the medical details of my injury
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