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4 Cards in this Set

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when to get an ankle CT
I would get one for any posterior Mal fragment!

2

2

Pilon Fractures

Definitive Treatment: Initial Tibial Ex-Fix (w/in 24 hours) followed by staged ORIF when soft tissue permits (fibula can +/- be plated first at the time of initial tibial ex-fix to prevent shortening, then tibia plate at second surgery). May need bone grafting during tibia ORIF.

Calcaneous fracture

Wixted only fixes them if the Harris heel view shows malalignment. Buckley 2002 JBJS showed no advantage to operative fixation. Surgery only better for younger, non worker comp, lower bohler angle, sedentary lifestyle, comminuted.