Información del artículo
Las fracturas del pilón tibial son un gran reto debido a la gran dificultad de su tratamiento. En este artículo de revisión se analizan los datos de mayor interés referentes a tan interesantes fracturas: concepto, epidemiología, mecanismo lesional, clasificaciones, valoración clínica, evaluación radiológica, tratamiento, complicaciones, resultados y evaluación de dichos resultados. La mayoría de los autores coinciden en que la afectación de las partes blandas, el patrón de cada fractura y la experiencia del cirujano son los parámetros fundamentales para decidir qué forma de tratamiento es el más adecuado (conservador o quirúrgico) para cada tipo de fractura.
Palabras clave:
tibia
pilón
fractura
tratamiento
resultados
Tibial pilon fractures are a challenge because of the difficulty of treatment. In this review article the most interesting data in relation to this interesting fracture were analyzed: concept, epidemiology, lesion mechanism, classification, clinical evaluation, radiologic evaluation, treatment, complications, results and the evaluation of results. Most authors agree that soft-tissue involvement, the fracture pattern, and the experience of the surgeon are fundamental parameters for selecting the most suitable treatment (nonoperative or surgical) for each type of fracture.
Key words:
tibial pilon
fracture
treatment
results
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