Article Figures & Data
Figures
- Figure 1.
Case 1. A, A’: Closed dislocation fracture. B: Immediate lateral osteosynthesis after reposition. C and D: Within 3 months, inner demarcation of the cancellous bone of the tibial pilon.
- Figure 2.
Case 1. A: Medial revision presents a demarcation of the central tibial pilon. B: Resected parts of the pilon and the fibula. C: Undecalcified longitudinal section of the pilon, coloured with toluidine blue. An intact joint surface and a demarcated irregular cancellous bone surface are visible. D: Soft tissues of the area under high magnification show chronic infection with plasma cells and lymphocytes (10× magnification).
- Figure 3.
Case 1. A: Bone loss of the pilon of about 6 cm in length. B: Appearance at the end of callus distraction. C, C’: At 45 weeks later, the external fixation was removed and an orthosis applied. D: Thirteen years later subtalar arthrodesis combined with correction osteotomy of the distal tibia to overcome equinus position.
- Figure 4.
Case 2. A: Grade 2 open dislocation fracture helped with primary debridement and external fixation. B and C: Internal fixation 4 days later. D: Magnetic resonance imaging after 5 months with arrowheads showing strong evidence of sequestrae in the tibial pilon.
- Figure 5.
Case 2. Soft-tissue closure after 6 weeks. Appearance before (A and B) and after (C and D) the operation. The gracilis muscle was tunnelled medially to laterally.
- Figure 6.
Case 2. A, A’: Preoperative computed tomographic-scan through the tibial pilon area presenting a demarcation of the cancellous bone, which then was resected. B: Ankle fusion with external fixation. C and D: Fixation was removed 22 weeks later, when the fusion was solid enough.
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