{"product_id":"tibial-pilon-case-03-anterolateral-and-posteromedial-approaches","title":"TIBIAL PILON [CASE 03] Anterolateral and Posteromedial Approaches","description":"\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eThis case-based educational module presents a tibial pilon fracture of the ankle managed through detailed operative reasoning and stepwise exposure. The discussion highlights staged decision-making after external fixation, assessment of the soft-tissue envelope, interpretation of CT findings, and the rationale for addressing a displaced anterolateral fragment through an anterolateral approach. Particular attention is given to identification, release, and protection of the superficial peroneal nerve, a structure that may be encountered in the lateral compartment before it travels into the subcutaneous layer during approaches in this region (KB1, page 2510). \u003c\/span\u003e\u003c\/p\u003e\n\u003cp class=\"MsoNormal\"\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eThe case also demonstrates how fracture morphology influences the reduction sequence, including the use of provisional fixation, implant-assisted reduction, and additional posteromedial exposure when residual displacement remains. In tibial pilon fracture surgery, the reduction and fixation sequence varies according to the fracture pattern, with accurate articular reduction described as a central priority in operative planning (KB3, page 4505). This module is intended for procedural education and critical review rather than independent procedural guidance.\u003cbr\u003e\u003c\/span\u003e\u003c\/p\u003e\n\u003ch2 class=\"MsoNormal\"\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eINICLUDED CONTENT\u003c\/span\u003e\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003eCase-based operative walkthrough of a tibial pilon fracture of the ankle.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003eDiscussion of initial external fixation and the limitations of ligamentotaxis in the presence of a displaced fragment.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003eAnterolateral approach demonstration with emphasis on superficial peroneal nerve handling.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003eFragment-specific reduction strategy for the anterolateral tibial fragment.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003ePosteromedial exposure planning for residual displacement.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003eTechnical reasoning on clamp placement, plate positioning, screw length, and implant-assisted reduction.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003eEducational narration by Dr. Sávio Chami.\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003eSource content originally in pt-BR, adapted into English for educational description.\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 class=\"MsoNormal\"\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eTARGET AUDIENCE\u003c\/span\u003e\u003c\/h2\u003e\n\u003cul\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eOrthopedic trauma surgeons\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eOrthopedic residents\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eTrauma fellows\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eFoot and ankle surgeons with trauma interest\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eMedical educators reviewing fracture reduction strategy\u003c\/span\u003e\u003c\/li\u003e\n\u003cli class=\"MsoNormal\"\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eOperating room team members involved in orthopedic trauma education\u003c\/span\u003e\u003c\/li\u003e\n\u003c\/ul\u003e\n\u003ch2 class=\"MsoNormal\"\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eEDUCATIONAL NOTICE\u003c\/span\u003e\u003c\/h2\u003e\n\u003cp\u003e\u003cspan lang=\"PT-BR\" style=\"mso-ansi-language: PT-BR;\"\u003eThis content is intended solely for medical education and procedural review. It does not replace formal surgical training, institutional protocols, specialist supervision, or individualized clinical judgment. No clinical outcome is promised or implied. Human expert review is mandatory before educational or clinical use.\u003c\/span\u003e\u003c\/p\u003e","brand":"reconstrucaoossea","offers":[{"title":"Default Title","offer_id":64456488812913,"sku":null,"price":0.0,"currency_code":"BRL","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0911\/4409\/4065\/files\/PILAOTIBIALCaso3.webp?v=1787588135","url":"https:\/\/reconstrucaoossea.com\/products\/tibial-pilon-case-03-anterolateral-and-posteromedial-approaches","provider":"reconstrucaoossea","version":"1.0","type":"link"}