MOJ Header

Current Issue - November 2020, Volume 14, Issue No. 3

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Two-Stage Surgical Procedure in Intra-articular Distal Tibiofibular Fractures with Soft Tissue Injury: in Which Stage Should the Fibular Plate be Applied at Initial Surgery?


  1. Calori GM, Tagliabue L, Mazza E, de Bellis U, Pierannunzii L, Marelli BM, et al. Tibialpilon fractures: Which method of treatment? Injury. 2010; 41: 1183-90. doi: 10.1016/j.injury.2010.08.041
  2. Joveniaux P, Ohl X, Harisboure A, Berrichi A, Labatut L, Simon P, et al. Distal tibia fractures: management and complications of 101 cases. Int Orthop. 2010; 34: 583-8. doi: 10.1007/s00264-009-0832-z
  3. Varsalona R, Liu GT. Distal tibial metaphyseal fractures: the role of fibular fixation. Strat Traum Limb Recon. 2006; 1: 42-50. doi: 10.1007/s11751-006-0005-1
  4. Biz C, Angelini A, Zamperetti M, Marzotto F, Sperotto SP, Carniel D, et al. Medium-Long-Term Radiographic and Clinical Outcomes after Surgical Treatment of Intra-Articular Tibial Pilon Fractures by Three Different Techniques. Biomed Res Int. 2018: 1-12. doi: 10.1155/2018/6054021
  5. Chan R, Taylor BC, Gentile J. Optimal Management of High-Energy Pilon Fractures. Orthopedics. 2015; 38(8): 708-14. doi: 10.3928/01477447-20150804-59
  6. White TO, Guy P, Cooke CJ, Kennedy SA, Droll KP, Blachut PA, et al. The Results of Early Primary Open Reduction and Internal Fixation for Treatment of OTA 43.C-Type Tibial Pilon Fractures: A Cohort Study. J Orthop Trauma. 2010; 24(12): 757-63. doi: 10.1097/BOT.0b013e3181d04bc0
  7. Mauffrey C, Vasario G, Battiston B, Lewis C, Beazley J, Seligson D. Tibial pilon fractures: a review of incidence, diagnosis, treatment, and complications. Acta Orthop Belg. 2011; 77(4): 432-40.
  8. Barei DP, Nork SE. Fractures of the Tibial Plafond. Foot Ankle Clin. 2008; 13: 571-91. doi: 10.1016/j.fcl.2008.09.002
  9. Lee YS, Chen SW, Chen SH, Chen WC, Lau MJ, Hsu TL. Stabilisation of the fractured fibula plays an important role in the treatment of pilon fractures: a retrospective comparison of fibular fixation methods. Int Orthop. 2009; 3 95-9. doi: 10.1007/s00264-008-0654-4
  10. Topliss CJ, Jackson M, Atkins RM. Anatomy of pilon fractures of the distal tibia. J Bone Joint Surg Br. 2005; 87: 692-7. doi: 10.1302/0301-620X.87B5.15982
  11. Williams TM, Marsh JL, Nepola JV, DeCoster TA, Hurwitz SR, Bonar SB. External fixation of tibial plafond fractures: is routine plating of the fibula necessary? J Orthop Trauma. 1998; 12: 16-20. doi: 10.1097/00005131-199801000-00003
  12. Tomas-Hernandez J. High-energy pilon fractures management: state of the art. EFORT Open Rev. 2017; 1(10): 354-61. doi: 10.1302/2058-5241.1.000016
  13. Dunbar RP, Barei DP, Kubiak EN, Nork SE, Henley MB. Early limited internal fixation of diaphyseal extensions in select pilon fractures: upgrading AO/OTA type C fractures to AO/ OTA type B. J Orthop Trauma. 2008; 22(6): 426-9. doi: 10.1097/BOT.0b013e31817e49b8
  14. Elgafy H, Semaan HB, Blessinger B, Wassef A, Ebraheim NA. Computed tomography of normal distal tibiofibular syndesmosis. Skeletal Radiol. 2010; 39: 559-64. doi: 10.1007/s00256-009-0809-4
  15. Lavini F, Dall’Oca C, Giaretta S, Bartolozzi P. Algoritmo terapeutico nelle fratture del pilonetibiale. Lo Scal. 2010; 24: 89-94. doi: 10.1007/s11639-010-0067-1
  16. Jain D, Selhi HS, Yamin M, Mahindra P. Soft tissue complications in distal tibial fractures managed with medial locking plates: A myth or reality? J Clin Orthop Trauma. 2017; 8(2): S90-95. doi: 10.1016/j.jcot.2017.07.001
  17. Babulreddy, Sanjay M. Minimally invasive plate osteosynthesis of peri-articular fractures of distal tibia: A clinical study. Nat J Clin Orthop. 2018; 2(2): 01-03.
  18. Francois J, Vandeputte G, Verheyden F, Nelen G. Percutaneous plate fixation of fractures of the distal tibia. Acta Orthop Belg. 2004; 70(2): 148-54.
  19. Nork SE. Distal tibia fractures. In: Stannard JP, Schmidt AH, Kregor PJ, editors. Surgical treatment of orthopaedic trauma. New York: Thieme Medical Publishers; 2007. p. 767-91.
  20. Panchbhavi V. Minimally Invasive Stabilization of Pilon Fractures. Tech Foot Ankle Surg. 2005; 4(4): 240-48. doi: 10.1097/
  21. Muller ME, Allgower M, Schneider R, Willenegger H. Fractures of the shaft of the tibia. In: Manual of Internal Fixation: Techniques Recommended by the AO Group. Berlin Heidelberg: Springer-Verlag Berlin Heidelberg; 1979. p. 278.
  22. Howard JL, Agel J, Barei DP, Benirschke SK, Nork SE, A Prospective Study Evaluating Incision Placement and Wound Healing for Tibial Plafond Fractures. J Orthop Trauma. 2008; 22(5): 299-306. doi: 10.1097/BOT.0b013e318172c811
  23. Dodds SD, Grey MA, Bohl DD, Mahoney EM, DeLuca PA. Clinical and radiographic outcomes of supracondylar humerus fractures treated surgically by pediatric and non-pediatric orthopedic surgeons. J Child Orthop. 2015; 9: 45-53. doi: 10.1007/s11832-015-0642-3
  24. DeFrancesco CJ, Shah AS, Brusalis CM, Flynn K, Leddy K, Flynn JM. Rate of Open Reduction for Supracondylar Humerus Fractures Varies Across Pediatric Orthopaedic Surgeons: A Single-Institution Analysis. J Orthop Trauma. 2018; 32(10): 400-7. doi: 10.1097/BOT.0000000000001262

Abstract   |   Reference

MOJ footer

About Us

The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

Keep in Touch

creative-commons License