MINIMALLY INVASIVE PERCUTANEOUS SCREWS OSTEOSYNTHESIS INDICATIONS IN TIBIAL PILON FRACTURES

Tibial pilon fractures usually result from high energy trauma. Management of these fractures is challenging because of the complexity of the injury pattern and the risk of significant complications. Various treatment methods are available, depending not only on the fracture type but mostly on the extent of the soft tissue injury. In tibial pilon fractures AO type A and B, without intensive comminution, we can tempt orthopedic reduction and percutaneous screw fixation. This protects the soft tissues, an important factor in postoperative care of these fractures. Material and methods: We present a case of a 23 years old woman treated with closed reduction and internal fixation with percutaneous screws. Conclusions: By percutaneous osteosynthesis we avoided possible complications of extensive skin wound and skin-dplate conflict. The recovery was much easier, avoiding joint stiffness and therefore osteoporosis at this level.