| Summary: | The paper propose a complex annalysis regarding etiopathogenic approach of the tibial pilon. The study was made upon the articular fractures of distal tibia, hospitalised and treated in Orthopaedic-Traumatology Clinic of Constanta Emergency Clinical Hospital, between 2007-2011, and consist of 245 patients. The lesional graduality will be found in the anathomoclinical forms of the fractures. The grade of soft tissue devitalisation will influence the local evolution and will promote the appearance and extension of skin necrosis in case of ireversible ischemia. In case of direct trauma, but with low energy or in case of indirect trauma, perifracture lesions are restrained and evolution can be favourable to cicatrization. The correct dyagnosis of these fractures are a mandatory stage of the presurgical planning and was made by annalysing the x-rays made in 2 incidencies, in emergency, and which were repeated when it was needed.
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