Tibial Pilon Fracture, Case 2: Dual-Approach Fixation

Study Tibial Pilon Fracture, Case 2: Dual-Approach Fixation through an immersive first-person surgical case from the Bone Reconstruction channel on Surgie. The module focuses on CT planning and three-dimensional reconstruction, posteromedial approach to the distal tibia, and management of posteromedial shear of the tibial pilon.

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

• CT planning and three-dimensional reconstruction
• Posteromedial approach to the distal tibia
• Management of posteromedial shear of the tibial pilon
• Anatomical preservation of the posterior tibial tendon and neurovascular bundle
• Posterior fixation with titanium plate
• Reduction strategies through the implant

Key Technical Decisions

• Structured CT Planning
• Anatomical Posteromedial Approach
• Protection of the Saphenous Vein and Soft Tissues
• Implant-Guided Reduction
• Posterior Fixation of the Tibial Pilon

Included With This Training

• Technical PDF summarizing the procedure, operative sequence, and key review points.

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.