Management of Ipsilateral Pilon with Calcaneal Fractures: A Rare Case Report.

INTRODUCTION

Ipsilateral pilon and calcaneal fractures are quite rare. Tibial pilon fractures are uncommon, <1% of all fractures to the lower extremity. Calcaneum is the most frequently fractured tarsal bone.

CASE REPORT

This is a case report of a 33-year-old male presented on April 21, 2023 in Apollo Hospital, Navi Mumbai with ipsilateral pilon and calcaneal fracture with L2 burst fracture with cauda equina syndrome.

RESULT

The patient was treated D12-L4 Stabilization with dural repair on April 22, 2023 and was operated on April 28 with internal fixation with plates and screws for pilon and calcaneum .patient was followed up for a period of 1 year postoperatively.

DISCUSSION

Open reduction and internal fixation of displaced calcaneal fractures and pilon fractures by locking plate to maintain the height and joint congruity. Surgery for pilon fractures fixation should be delayed, ideally till "wrinkling of the skin" occurs.

CONCLUSION

Based on our study, we conclude that a delayed single-stage open reduction and internal fixation with locking plate for calcaneum and pilon fracture with iliac crest bone graft is an excellent treatment option with good post-operative outcome and no significant complications. Axial loading due to a fall from height is the most common mode in these types of injuries.