Anterolateral Approach for Tibial Pilon Fractures
Abstract
The anterolateral approach to the tibia has been popularized for management of tibial pilon fractures. This approach offers the benefit of improved soft tissue coverage and the potential for a lower rate of wound-healing complications by avoiding incision placement over the subcutaneous border of the tibia. Although the fracture pattern dictates specific plate use, antomically designed anterolateral plates are useful for fixation of common fracture patterns. Additional exposures may be required to address other areas of the fracture, such as the medial malleolus, which cannot be accessed through this approach.
Dr Hak is from the Department of Orthopedic Surgery, Denver Health/University of Colorado, Denver, Colorado.
Dr Hak has no relevant financial relationships to disclose.
The anterolateral approach to the tibia has been popularized for management of tibial pilon fractures. This approach offers the benefit of improved soft tissue coverage and the potential for a lower rate of wound-healing complications by avoiding incision placement over the subcutaneous border of the tibia. Although the fracture pattern dictates specific plate use, antomically designed anterolateral plates are useful for fixation of common fracture patterns. Additional exposures may be required to address other areas of the fracture, such as the medial malleolus, which cannot be accessed through this approach.
Dr Hak is from the Department of Orthopedic Surgery, Denver Health/University of Colorado, Denver, Colorado.
Dr Hak has no relevant financial relationships to disclose.
Correspondence should be addressed to: David J. Hak, MD, MBA, Department of Orthopedic Surgery, Denver Health/University of Colorado, 777 Bannock St, MC 0188, Denver, CO 80204 (David.Hak@dhha.org).
