Frame-Assisted Reduction of a B-Type Pilon Fracture Dislocation: Talar Body Incarceration on an Intact Fibula: A Case Report.

Journal Article (Journal Article)

CASE: We describe an irreducible anterolateral tibiotalar dislocation with an AO/OTA (Arbeitsgemeinschaft fur Osteosynthesefragen/Orthopaedic Trauma Association) B-type pilon fracture. The injury was initially treated with closed reduction, using a medializing force achieved with an external fixator to unhinge the talar body from the fibula, followed by temporary stabilization. Definitive fixation was performed once the soft tissues had recovered. CONCLUSION: This unique irreducible pilon fracture dislocation pattern is important to recognize to prevent iatrogenic complications associated with multiple failed closed reduction attempts. Frame-assisted, percutaneous, or open maneuvers may be required to facilitate a reduction. Staged treatment with temporization in an external fixator may be required.

Full Text

Duke Authors

Cited Authors

  • Campbell, ST; DeBaun, MR; Githens, MF

Published Date

  • February 11, 2021

Published In

Volume / Issue

  • 11 / 1

Start / End Page

  • e20.00436 -

PubMed ID

  • 33577191

Electronic International Standard Serial Number (EISSN)

  • 2160-3251

Digital Object Identifier (DOI)

  • 10.2106/JBJS.CC.20.00436


  • eng

Conference Location

  • United States