{"product_id":"tibial-pilon-case-03-anterolateral-and-posteromedial-approaches","title":"TIBIAL PILON [CASE 03] Anterolateral and Posteromedial Approaches","description":"\u003cp\u003eThis educational case presents a tibial pilon fracture of the ankle region managed with careful attention to soft-tissue condition, fracture morphology, and sequential reduction planning. The discussion emphasizes the role of initial external fixation when the soft-tissue envelope is not suitable for definitive fixation, followed by tomographic analysis to identify a displaced anterolateral fragment that limited reduction.\u003c\/p\u003e\n\u003cp\u003eThe case walks through the anterolateral approach, including identification, release, and protection of the superficial fibular nerve, development of the surgical interval, exposure of the displaced anterolateral tibial fragment, provisional fixation, and use of a plate as both a fixation and reduction tool. It then transitions to the posteromedial approach, highlighting how the fracture apex, long oblique fracture line, implant positioning, clamp strategy, and plate-assisted reduction can guide restoration of alignment in a delayed setting with fibrotic tissue between fragments.\u003c\/p\u003e\n\u003cp\u003eThe content is designed for procedural learning in orthopedic trauma, with emphasis on anatomy, surgical reasoning, implant strategy, reduction sequence, and safe technical review. It is not intended to replace formal surgical training, institutional protocols, or specialist supervision.\u003c\/p\u003e\n\u003ch2\u003eINCLUDED CONTENT\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eCase-based review of a tibial pilon fracture involving the ankle region\u003c\/li\u003e\n\u003cli\u003eDiscussion of staged management after initial external fixation\u003c\/li\u003e\n\u003cli\u003eCT-based reasoning for identifying a displaced anterolateral fragment\u003c\/li\u003e\n\u003cli\u003eStep-by-step educational review of the anterolateral approach\u003c\/li\u003e\n\u003cli\u003eIdentification and protection of the superficial fibular nerve\u003c\/li\u003e\n\u003cli\u003eExposure and reduction of the anterolateral distal tibial fragment\u003c\/li\u003e\n\u003cli\u003eUse of provisional fixation and plate-assisted reduction\u003c\/li\u003e\n\u003cli\u003ePosteromedial approach planning based on fracture anatomy\u003c\/li\u003e\n\u003cli\u003eDiscussion of fracture apex identification and reduction parameters\u003c\/li\u003e\n\u003cli\u003eImplant and clamp strategy for posteromedial reduction\u003c\/li\u003e\n\u003cli\u003eEducational commentary on procedural decision-making in orthopedic trauma\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eTARGET AUDIENCE\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli\u003eOrthopedic trauma surgeons\u003c\/li\u003e\n\u003cli\u003eOrthopedic surgery residents and fellows\u003c\/li\u003e\n\u003cli\u003eFoot and ankle surgeons with an interest in trauma reconstruction\u003c\/li\u003e\n\u003cli\u003eMedical educators teaching fracture management\u003c\/li\u003e\n\u003cli\u003eSurgical trainees studying distal tibia and ankle fracture approaches\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2\u003eEDUCATIONAL NOTICE\u003c\/h2\u003e\n\u003cp\u003eThis content is intended for medical education and procedural review only. It does not provide patient-specific medical advice, does not guarantee clinical outcomes, and should not replace formal training, specialist supervision, institutional protocols, or independent clinical judgment. All procedural content should undergo appropriate human medical review before educational or clinical use.\u003c\/p\u003e\n\u003cp\u003e\u003c!-- notionvc: d885f84a-9b50-4b9c-96b2-869ab1ddc6da --\u003e\u003c\/p\u003e","brand":"Dr Savio Chami","offers":[{"title":"Default Title","offer_id":43408563961917,"sku":null,"price":30.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0641\/3664\/2621\/files\/TIBIAL-PILON-CASE-03-Anterolateral-and-Posteromedial-Approaches.webp?v=1785677016","url":"https:\/\/www.surgie.com\/hi\/products\/tibial-pilon-case-03-anterolateral-and-posteromedial-approaches","provider":"Surgie","version":"1.0","type":"link"}