The trade-off Tibiotalocalcaneal (TTC) nailing is increasingly used for comminuted pilon fractures, but it fuses the subtalar joint. That cost has been hard to weigh without knowing how often the joint degenerates anyway. Inside the study Researchers reviewed 473 patients treated with open reduction and internal fixation (ORIF). X-rays were graded with the Kellgren-Lawrence and NSS systems, and CT scans, when available, with the CT Ankle Osteoarthritis (CTAO) system. Patients

Pilon fractures frequently lead to ankle arthritis. However, the risk and severity of posttraumatic subtalar arthritis is not well documented. This is relevant considering the evolving trend of acute of tibiotalocalcaneal (TTC) arthrodesis as a treatment option. Study design To better understand subtalar arthritis after pilon fractures, researchers conducted a retrospective review of 473 patients with pilon fractures treated by open reduction internal fixation. Patients were