PMC3926991_01
Initial lower extremity radiographs showing the distal tibial and fibular fractures.
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F0001
A 63-year-old male presented to the emergency department of our institution in January of 2011 with an open pilon fracture of his left tibia along with a fracture of the distal fibula (Fig. 1).
Postoperative anteroposterior lower extremity radiograph showing the internal fixation of the pilon fracture.
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F0002
Postoperatively (Figs. 2 and 3), the patient received intravenous antibiotic therapy with ceftriaxone, amikacin, and metronidazole for 3 days and the patient was discharged from the hospital 1 week after the initial operation.
Postoperative lateral lower extremity radiograph showing the internal fixation of the pilon fracture.
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F0003
Postoperatively (Figs. 2 and 3), the patient received intravenous antibiotic therapy with ceftriaxone, amikacin, and metronidazole for 3 days and the patient was discharged from the hospital 1 week after the initial operation.
Initial presentation of the skin lesion after the internal fixation of the pilon fracture.
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One month after the operation, the patient presented with a skin lesion at the side of the incision (Fig. 4) with a postoperative angiography revealing a partial obstruction of the fibular artery (Fig. 5).
Clinical picture showing the Ilizarov external fixation combined with Papineau technique.
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The skin defects were treated with the Papineau technique (Fig. 6).
Postoperative anteroposterior lower extremity radiograph at 6 months after the Ilizarov external fixation application.
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Six months after the Ilizarov external fixation, there was radiographic evidence of fracture healing (Figs. 7 and 8).
Postoperative lateral lower extremity radiograph at 6 months after the Ilizarov external fixation application.
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Six months after the Ilizarov external fixation, there was radiographic evidence of fracture healing (Figs. 7 and 8).
Clinical picture showing the soft tissue defect healed at 6 months after the Papineau technique.
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The skin defect was healed (Fig. 9) and the Ilizarov external fixation was removed.