Marengo Asia Hospital (Formerly Sunshine Global Hospital), Vadodaranr. Shreyas Vidhyalay, behind ICICI Bank, Lalbaug, Manjalpur, Vadodara, Gujarat 390004 / Marengo Asia Hospital (Formerly Sunshine Global Hospital), SuratDumas Rd, beside Big Bazar, Piplod, Surat, Gujarat 395007
Arthroscopy & Endoscopy
Arthroscopy-Assisted Pilon Fracture Fixation
A pilon fracture fixed under direct arthroscopic vision — clearing the joint of clot, reducing fragments precisely, and treating cartilage damage to prevent stiffness.
Patient Age
31 Years
MECHANISM
High-impact injury
PRESENTATION
Intra-Articular Pilon Fracture
APPROACH
Arthroscopy-Assisted Reduction and Fixation
01
Clinical Rationale
Radiographs cannot show whether a joint surface is truly anatomic. The joint was cleared of clot and the fragments reduced under direct arthroscopic vision, with cartilage damage treated in the same sitting to prevent later stiffness.
02
Surgical Approach
Ankle arthroscopy was used to clear haematoma and blood clots, visualise the fracture lines, and guide manipulation and reduction of the articular fragments. Provisional and then final fixation were carried out under combined scope and C-arm control, with articular defects addressed simultaneously.
02
Imaging & Progression
Pre-operative imaging, intra-operative views and post-operative results. Each slot maps to a CMS image field — drop in the matching consented file from the case folder.
#1
Ankle arthroscopy adds direct, under-eye visualisation of the articular reduction.
#2
Fragment manipulation becomes far easier under arthroscopic control.
#3
Treating articular defects and cartilage flakes at the same time prevents post-operative stiffness.
#4
Combined scope and C-arm guidance confirms an anatomic joint-surface reduction.
04
Clinical Care Points
RIGHT SIDE
- i) Arthroscopic joint clearance of clot
ii) Direct-vision fragment manipulation
iii) Scope + C-arm guided reduction
iv) Simultaneous articular defect management
LEFT SIDE
-
| 35+ YEARS OF TRUST, CARE & EXCELLENCE
Arthroscopy-Assisted Pilon Fracture Fixation
A pilon fracture fixed under direct arthroscopic vision — clearing the joint of clot, reducing fragments precisely, and treating cartilage damage to prevent stiffness.
A 31-year-old patient sustained a pilon fracture involving the weight-bearing surface of the ankle. These injuries can appear reduced on fluoroscopy while small steps, gaps or impacted areas remain hidden within the joint. Arthroscopy was added to fracture fixation so the articular surface could be inspected directly.
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