case_images: PMC3926991_01
case_images: Initial lower extremity radiographs showing the distal tibial and fibular fractures.
case_images: DFA-5-22841-g001.jpg
case_images: PMC3926991_01_DFA-5-22841-g001.jpg
case_images: F0001
case_images: A 63-year-old male presented to the emergency department of our institution in January of 2011 with an open pilon fracture of his left tibia along with a fracture of the distal fibula (Fig. 1).
case_images: Postoperative anteroposterior lower extremity radiograph showing the internal fixation of the pilon fracture.
case_images: DFA-5-22841-g002.jpg
case_images: PMC3926991_01_DFA-5-22841-g002.jpg
case_images: F0002
case_images: Postoperatively (Figs. 2 and 3), the patient received intravenous antibiotic therapy with ceftriaxone, amikacin, and metronidazole for 3 days and the patient was discharged from the hospital 1 week after the initial operation.
case_images: Postoperative lateral lower extremity radiograph showing the internal fixation of the pilon fracture.
case_images: DFA-5-22841-g003.jpg
case_images: PMC3926991_01_DFA-5-22841-g003.jpg
case_images: F0003
case_images: Postoperatively (Figs. 2 and 3), the patient received intravenous antibiotic therapy with ceftriaxone, amikacin, and metronidazole for 3 days and the patient was discharged from the hospital 1 week after the initial operation.
case_images: Initial presentation of the skin lesion after the internal fixation of the pilon fracture.
case_images: DFA-5-22841-g004.jpg
case_images: PMC3926991_01_DFA-5-22841-g004.jpg
case_images: F0004
case_images: One month after the operation, the patient presented with a skin lesion at the side of the incision (Fig. 4) with a postoperative angiography revealing a partial obstruction of the fibular artery (Fig. 5).
case_images: Clinical picture showing the Ilizarov external fixation combined with Papineau technique.
case_images: DFA-5-22841-g006.jpg
case_images: PMC3926991_01_DFA-5-22841-g006.jpg
case_images: F0006
case_images: The skin defects were treated with the Papineau technique (Fig. 6).
case_images: Postoperative anteroposterior lower extremity radiograph at 6 months after the Ilizarov external fixation application.
case_images: DFA-5-22841-g007.jpg
case_images: PMC3926991_01_DFA-5-22841-g007.jpg
case_images: F0007
case_images: Six months after the Ilizarov external fixation, there was radiographic evidence of fracture healing (Figs. 7 and 8).
case_images: Postoperative lateral lower extremity radiograph at 6 months after the Ilizarov external fixation application.
case_images: DFA-5-22841-g008.jpg
case_images: PMC3926991_01_DFA-5-22841-g008.jpg
case_images: F0008
case_images: Six months after the Ilizarov external fixation, there was radiographic evidence of fracture healing (Figs. 7 and 8).
case_images: Clinical picture showing the soft tissue defect healed at 6 months after the Papineau technique.
case_images: DFA-5-22841-g009.jpg
case_images: PMC3926991_01_DFA-5-22841-g009.jpg
case_images: F0009
case_images: The skin defect was healed (Fig. 9) and the Ilizarov external fixation was removed.