Percutaneous Contoured Locking Plate Fixation of the Pilon Fracture: Surgical Technique

Using a "true" percutaneous approach combined with newer generation locking plates for the treatment of certain pilon fractures may decrease complications associated with disruption of the soft tissue envelope and associated osseous complications and allow for quicker return to function. This technique may prove to be advantageous when compared to more traditional open methods. The percutaneous locking plate approach is probably best suited for closed noncomminuted metadiaphyseal pilon fractures with minimal articular surface involvement and when bone grafting of the metaphysis is not necessary. This approach is not ideal for every pilon fracture and surgeons should have the significant experience with pilon fracture management before attempting this approach.