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Left Tibia Pilon Open Fracture Open Reduction and Internal Fixation with External Fixator

Nelson Merchan, MD1,2; Andrew M. Hresko, MD1,2; Edward Kenneth Rodriguez, MD, PhD2
1Harvard Combined Orthopaedic Surgery Residency Program
2Beth Israel Deaconess Medical Center

1. Introduction

2. Surgical Approach and Wound Irrigation

3. Traction Pin

4. Lateral Exposure

5. Reduction of Fibula Fracture to Restore Lateral Length and Alignment

6. Fixation of Fibula with Plate

7. Medial Exposure

8. Medial Reduction with K-Wires to Restore Medial Length and Alignment

9. Medial External Fixation with Plate and Bone Graft

10. Closure

11. Post-op Remarks