Dr. Ebraheim’s educational animated video describes tibial pilon / plafond fracture, the etiology, diagnosis, imaging, and treatment options.
A pilon fracture ( or tibial plafond fracture) is a fracture of the distal tibia involving the ankle joint and it typically fractures the fibula.
Pilon is a French term of the injury mechanism meaning “hammer” or “pestle”. A pilon fracture is a high energy trauma with articular impaction and comminution. There will be significant associated soft tissue injury and metaphyseal bone loss with associated muscloskeletal injuries.
Usually the fibula is fractured along with the pilon fracture but occasionally remains intact. Fracture usually occurs with an anterolateral fragment that subluxes or dislocates from the joint and remains attached to the fibula.
The syndesmosis is injured.
There will be talofibular joint incongruity due to disruption of the talofibular ligament.
The fibula appears longer and moving laterally.
Oblique views show the direction of the force.

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Background music provided as a free download from YouTube Audio Library.
Song Title: Every Step

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