CME OnDemand - AOFAS/BOFAS: Complex Pilon Fractures-AOFAS/BOFAS: Complex Pilon Fractures

Video Transcription

Video Summary

In this video summary, the speaker discusses primary fusions for pilon fractures. The speaker begins by mentioning that primary fusions are becoming more common in pilon fractures due to their effectiveness and the limitations of traditional methods. The speaker emphasizes the importance of treating the soft tissues first in these challenging fractures. They present several case examples, highlighting the challenges and outcomes of primary fusions. They discuss the rationale for primary fusion, including the already damaged cartilage and the high risk of avascular necrosis. The speaker also explores the functional limitations and potential complications of fusion. They recommend considering primary fusion for highly comminuted or unreconstructable pilon fractures, open injuries, delayed presentations, elderly patients with limited activity, and neuropathic patients. The speaker concludes by discussing surgical techniques for primary fusions, such as using plates, screws, nails, and bone grafting. They also mention the option of bone transport for large bone defects. Overall, the speaker advocates for individualized treatment methods based on the patient and fracture characteristics.

Keywords

primary fusions

pilon fractures

soft tissues

case examples

rationale for primary fusion

functional limitations

surgical techniques

individualized treatment methods