![]() ![]() It is also important to check the other muscles, bones, and joints to see whether there are any other associated injuries. There may be associated deformity if the ankle fracture is significantly out of the normal position. It is important to check the nerve and the blood supply to the foot, as this can be injured. Physical examination will show significant swelling involving the ankle joint and the lower leg. The injury is often extremely uncomfortable and patients cannot walk on the affected limb. A Pilon fracture is associated with marked pain, ankle swelling, and distorted anatomy. It is common for patients to have other injuries. Patients with a Pilon fracture usually have suffered an excessive load or force to the ankle joint, such as a fall from a height or a motor vehicle accident. It often takes many months for the fracture to heal and more than a year for the patient to reach their point of maximal improvement. Some ankle arthritis and joint stiffness is common even with optimally treated Pilon fractures. Surgery attempts to restore the shattered bone back to its original position. ![]() It is a painful injury associated with a fair amount of swelling. Treatment is often surgical if the fracture is displaced. The bone of the lower part of the ankle joint (talus) is driven into the top of the ankle joint, causing a fracture to the weight bearing portion of the ankle joint (tibial plafond) and the distal tibia (and possibly fibula). A Pilon fracture is a severe injury involving the ankle joint. The fracture involves the larger bone of the lower leg (tibia), and extends into the weight bearing surface of the ankle joint. It usually occurs following a significant force to the foot, such as a fall from a height or motor vehicle accident (MVA). ![]()
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