{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T11:14:52Z","timestamp":1783509292005,"version":"3.55.0"},"reference-count":35,"publisher":"MDPI AG","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,12,8]]},"abstract":"<jats:p>BACKGROUND: Although pilon fractures are rare, they are important for orthopedic surgeons because of the difficulty of treatment and adverse effects on gait function. The aim of the study to evaluate the relationship between the reduction quality of the fracture, functional results, ankle arthrosis and plantar pressure distribution in patients with tibia pilon fractures. METHODS: In this study, a total of 62 patients treated for an intraarticular pilon fracture in our clinic between January 2015 and January 2019 were evaluated retrospectively. Postoperative reduction qualities of the patients were evaluated with the Ovadia-Beals criteria, ankle functional scores with the Teeny-Wiss score, and ankle arthrosis with the Takakura classification. In the last follow-up of the patients, foot loading analysis was performed and the results of the patients were evaluated for their relation with postoperative reduction quality, ankle functions and ankle arthrosis. RESULTS: There were 62 patients (50 men and 12 women). The average age was 43.3 years (range 19-78). The mean follow-up was 34.3 months (range 24 - 58). The mean Ovadia-Beals score was 12.35 {plus minus} 4.6 in the postoperative plain radiographs of the patients; the mean Teeny-Wiss score in the last follow-up was 76.82 {plus minus} 17.69, and the Takakura score was 1.47 {plus minus} 1.35. Based on the pedobarographic measurements, 47.58% of the patients put weight on the anterior and 52.42% on the posterior of the foot in the anteroposterior plane. In the mediolateral plane, 42.15% loaded on the medial of the ankle and 57.85% loaded on the lateral of the foot. CONCLUSION: Intra-articular tibia pilon fractures can be demonstrated by lateralization of the walking axis and changes in gait patterns and can be associated with clinical outcome.<\/jats:p>","DOI":"10.7547\/21-107","type":"journal-article","created":{"date-parts":[[2021,12,8]],"date-time":"2021-12-08T09:12:16Z","timestamp":1638954736000},"source":"Crossref","is-referenced-by-count":4,"title":["Foot Loading Analysis of Intraarticular Tibia Pilon Fracture"],"prefix":"10.3390","author":[{"given":"Anil","family":"Agar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adem","family":"\u015eAH\u0130N","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seyit Ali","family":"Guclu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deniz","family":"G\u00fclabi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cemil","family":"Erturk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","reference":[{"key":"B1","series-title":"J Trauma","first-page":"591","article-title":"Intra-articular fractures of the distal tibia: the pilon fracture","volume":"23","author":"Bourne RB","year":"1983","unstructured":"Bourne RB, Rorabeck CH, Macnab J: Intra-articular fractures of the distal tibia: the pilon fracture. J Trauma 23: 591, 1983."},{"key":"B2","series-title":"Trauma","first-page":"89","article-title":"The pilon fracture","volume":"12","author":"Chowdhry M","year":"2010","unstructured":"Chowdhry M, Porter K: The pilon fracture. Trauma 12: 89, 2010."},{"key":"B3","series-title":"Foot Ankle Int","first-page":"125","article-title":"A comprehensive study of pressure distribution in the ankle joint with inversion and eversion","volume":"15","author":"Calhoun JH","year":"1994","unstructured":"Calhoun JH, Li F, Ledbetter BR, et al: A comprehensive study of pressure distribution in the ankle joint with inversion and eversion. Foot Ankle Int 15: 125, 1994."},{"key":"B4","series-title":"Orthop Clin North Am","first-page":"231","article-title":"Pilon fractures: assessment and treatment","volume":"33","author":"Boreeli J Jr","year":"2002","unstructured":"Boreeli J Jr, Ellis E: Pilon fractures: assessment and treatment. Orthop Clin North Am 33: 231, 2002."},{"key":"B5","series-title":"Injury","first-page":"130","article-title":"Fractures of the lower end of the tibia into the ankle joint: results 9 years after open reduction and internal fixation","volume":"5","author":"R\u00fcedi T","year":"1973","unstructured":"R\u00fcedi T: Fractures of the lower end of the tibia into the ankle joint: results 9 years after open reduction and internal fixation. Injury 5: 130, 1973."},{"key":"B6","series-title":"J Orthop Trauma","first-page":"198","article-title":"The extensile approach for the operative treatment of high-energy pilon fractures: surgical technique and soft-tissue healing","volume":"21","author":"Assal M","year":"2007","unstructured":"Assal M, Ray A, Stern R: The extensile approach for the operative treatment of high-energy pilon fractures: surgical technique and soft-tissue healing. J Orthop Trauma 21: 198, 2007."},{"key":"B7","series-title":"J Orthop Trauma","first-page":"153","article-title":"Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques","volume":"15","author":"Blauth M","year":"2001","unstructured":"Blauth M, Bastian L, Krettek C, et al: Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques. J Orthop Trauma 15: 153, 2001."},{"issue":"suppl","key":"B8","series-title":"J Orthop Trauma","first-page":"S32","article-title":"A staged protocol for soft tissue management in the treatment of complex pilon fractures","volume":"18","author":"Sirkin M","year":"2004","unstructured":"Sirkin M, Sanders R, DiPasquale T, et al: A staged protocol for soft tissue management in the treatment of complex pilon fractures. J Orthop Trauma 18(suppl): S32, 2004."},{"key":"B9","series-title":"Int Orthop","first-page":"833","article-title":"Two-stage procedure protocol for minimally invasive plate osteosynthesis technique in the treatment of the complex pilon fracture","volume":"36","author":"Tong D","year":"2012","unstructured":"Tong D, Ji F, Zhang H, et al: Two-stage procedure protocol for minimally invasive plate osteosynthesis technique in the treatment of the complex pilon fracture. Int Orthop 36: 833, 2012."},{"key":"B10","series-title":"J Bone Joint Surg Am","first-page":"1893","article-title":"Outcomes after treatment of high-energy tibial plafond fractures","volume":"85","author":"Pollak AN","year":"2003","unstructured":"Pollak AN, McCarthy ML, Bess RS, et al: Outcomes after treatment of high-energy tibial plafond fractures. J Bone Joint Surg Am 85: 1893, 2003."},{"key":"B11","series-title":"J Bone Joint Surg Br","first-page":"692","article-title":"Anatomy of pilon fractures of the distal tibia","volume":"87","author":"Topliss CJ","year":"2005","unstructured":"Topliss CJ, Jackson M, Atkins RM: Anatomy of pilon fractures of the distal tibia. J Bone Joint Surg Br 87: 692, 2005."},{"key":"B12","series-title":"J Bone Joint Surg Am","first-page":"287","article-title":"Tibial plafond fractures. How do these ankles function over time?","volume":"85","author":"Marsh JL","year":"2003","unstructured":"Marsh JL, Weigel DP, Dirschl DR: Tibial plafond fractures. How do these ankles function over time? J Bone Joint Surg Am 85: 287, 2003."},{"key":"B13","series-title":"Int Orthop","first-page":"343","article-title":"Early internal fixation and soft tissue cover of severe open tibial pilon fractures","volume":"27","author":"Conroy J","year":"2003","unstructured":"Conroy J, Agarwal M, Giannoudis PV, et al: Early internal fixation and soft tissue cover of severe open tibial pilon fractures. Int Orthop 27: 343, 2003."},{"key":"B14","series-title":"The Comprehensive Classification of Fractures of Long Bones","author":"M\u00fcller ME","year":"1990","unstructured":"M\u00fcller ME, Koch P, Nazarian S, : The Comprehensive Classification of Fractures of Long Bones, Springer, New York, 1990."},{"key":"B15","series-title":"J Bone Joint Surg Am","first-page":"543","article-title":"Fractures of the tibial plafond","volume":"68","author":"Ovadia DN","year":"1986","unstructured":"Ovadia DN, Beals RK: Fractures of the tibial plafond. J Bone Joint Surg Am 68: 543, 1986."},{"key":"B16","series-title":"Clin Orthop Relat Res","first-page":"108","article-title":"Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications","volume":"292","author":"Teeny SM","year":"1993","unstructured":"Teeny SM, Wiss DA: Open reduction and internal fixation of tibial plafond fractures. Variables contributing to poor results and complications. Clin Orthop Relat Res 292: 108, 1993."},{"key":"B17","series-title":"J Bone Joint Surg Am","first-page":"e1221","article-title":"Long-term outcome of pronation-external rotation ankle fractures treated with syndesmotic screws only","volume":"95","author":"Lambers KTA","year":"2013","unstructured":"Lambers KTA, Van Den Bekerom MPJ, Doornberg JN, et al: Long-term outcome of pronation-external rotation ankle fractures treated with syndesmotic screws only. J Bone Joint Surg Am 95: e1221, 2013."},{"key":"B18","series-title":"Injury","first-page":"92","article-title":"Fractures of the lower end of the tibia into the ankle-joint","volume":"1","author":"R\u00fcedi TP","year":"1969","unstructured":"R\u00fcedi TP, Allg\u00f6wer M: Fractures of the lower end of the tibia into the ankle-joint. Injury 1: 92, 1969."},{"key":"B19","series-title":"Chirurg","first-page":"187","article-title":"Pilon fractures. Part 2: repositioning and stabilization technique and complication management [in German]","volume":"86","author":"Krettek C","year":"2015","unstructured":"Krettek C, Bachmann S: Pilon fractures. Part 2: repositioning and stabilization technique and complication management [in German]. Chirurg 86: 187, 2015."},{"key":"B20","series-title":"Iowa Orthop J","first-page":"1","article-title":"The pathomechanical etiology of post-traumatic osteoarthritis following intraarticular fractures","volume":"31","author":"Anderson DD","year":"2011","unstructured":"Anderson DD, Marsh JL, Brown TD: The pathomechanical etiology of post-traumatic osteoarthritis following intraarticular fractures. Iowa Orthop J 31: 1, 2011."},{"key":"B21","series-title":"Int J Rehabil Res","first-page":"92","article-title":"Adaptation of postural control while standing on a narrow unfixed base of support","volume":"39","author":"Mani H","year":"2016","unstructured":"Mani H, Hsiao SF, Konishi T, et al: Adaptation of postural control while standing on a narrow unfixed base of support. 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Int Orthop 34: 583, 2010."},{"key":"B26","series-title":"Clin Biomech (Bristol, Avon)","first-page":"303","article-title":"Alterations of plantar pressure distribution in posttraumatic end-stage ankle osteoarthritis","volume":"24","author":"Horisberger M","year":"2009","unstructured":"Horisberger M, Hintermann B, Valderrabano V: Alterations of plantar pressure distribution in posttraumatic end-stage ankle osteoarthritis. 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Ulus Travma Acil Cerrahi Derg 26: 798, 2020."},{"key":"B29","series-title":"Injury","first-page":"2853","article-title":"Quality of fracture reduction assessed by radiological parameters and its influence on functional results in patients with pilon fractures\u2014a prospective multicentre study","volume":"48","author":"Sommer C","year":"2017","unstructured":"Sommer C, Nork SE, Graves M, et al: Quality of fracture reduction assessed by radiological parameters and its influence on functional results in patients with pilon fractures\u2014a prospective multicentre study. Injury 48: 2853, 2017."},{"key":"B30","series-title":"J Foot Ankle Surg","first-page":"894","article-title":"Foot loading and gait analysis evaluation of nonarticular tibial pilon fracture: a comparison of three surgical techniques","volume":"57","author":"Falzarano G","year":"2018","unstructured":"Falzarano G, Pica G, Medici A, et al: Foot loading and gait analysis evaluation of nonarticular tibial pilon fracture: a comparison of three surgical techniques. J Foot Ankle Surg 57: 894, 2018."},{"key":"B31","series-title":"Int Orthop","first-page":"51","article-title":"Clinical outcome and changes in gait pattern after pilon fractures","volume":"37","author":"Jansen H","year":"2013","unstructured":"Jansen H, Fenwick A, Doht S, et al: Clinical outcome and changes in gait pattern after pilon fractures. Int Orthop 37: 51, 2013."},{"key":"B32","series-title":"Ulus Travma Acil Cerrahi Derg","first-page":"429","article-title":"The mid-term results of treatment for tibial pilon fractures","volume":"18","author":"G\u00fclabi D","year":"2012","unstructured":"G\u00fclabi D, Toprak \u00d6, \u015een C, et al: The mid-term results of treatment for tibial pilon fractures. Ulus Travma Acil Cerrahi Derg 18: 429, 2012."},{"key":"B33","series-title":"J Orthop Trauma","first-page":"341","article-title":"Staged posterior tibial plating for the treatment of orthopaedic trauma association 43C2 and 43C3 tibial pilon fractures","volume":"26","author":"Ketz J","year":"2012","unstructured":"Ketz J, Sanders R: Staged posterior tibial plating for the treatment of orthopaedic trauma association 43C2 and 43C3 tibial pilon fractures. J Orthop Trauma 26: 341, 2012."},{"key":"B34","series-title":"Open Orthop J","first-page":"419","article-title":"Multifragmentary tibial pilon fractures: midterm results after osteosynthesis with external fixation and multiple lag screws","volume":"6","author":"Kiene J","year":"2012","unstructured":"Kiene J, Herzog J, J\u00fcrgens C, et al: Multifragmentary tibial pilon fractures: midterm results after osteosynthesis with external fixation and multiple lag screws. Open Orthop J 6: 419, 2012."},{"key":"B35","series-title":"Injury","first-page":"278","article-title":"Limited open reduction and Ilizarov external fixation in the treatment of distal tibial fractures","volume":"35","author":"Leung F","year":"2004","unstructured":"Leung F, Kwok HY, Pun TS, et al: Limited open reduction and Ilizarov external fixation in the treatment of distal tibial fractures. 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