Tibial Pilon Fracture, Case 3: Anterolateral and Posteromedial Approaches

Study Tibial Pilon Fracture, Case 3: Anterolateral and Posteromedial Approaches through an immersive first-person surgical case from the Bone Reconstruction channel on Surgie. The module focuses on case-based review of a tibial pilon fracture involving the ankle region, discussion of staged management after initial external fixation, and CT-based reasoning for identifying a displaced anterolateral fragment.

Procedure Overview

The case is organized for structured review of surgical anatomy, procedural sequencing, instrument handling, reduction or reconstruction strategy, implant positioning, and intraoperative verification. Expert narration connects the visual field with the decisions documented during the procedure.

What You Will Observe

• Case-based review of a tibial pilon fracture involving the ankle region
• Discussion of staged management after initial external fixation
• CT-based reasoning for identifying a displaced anterolateral fragment
• Step-by-step educational review of the anterolateral approach
• Identification and protection of the superficial fibular nerve
• Exposure and reduction of the anterolateral distal tibial fragment

Key Technical Decisions

• Exposure and reduction of the anterolateral distal tibial fragment
• Use of provisional fixation and plate-assisted reduction
• Posteromedial approach planning based on fracture anatomy
• Discussion of fracture apex identification and reduction parameters
• Implant and clamp strategy for posteromedial reduction

Learning Format

First-person operative footage, surgeon-led narration, and case-based visual review designed to support preparation before supervised clinical training.

Educational notice: This content supports professional education and does not replace formal training, institutional protocols, patient-specific planning, or supervised clinical judgment.