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Novel reconstruction of an open pilon fracture with significant bone loss
  1. Saleem Mastan and
  2. Anand Pillai
  1. Trauma and Orthopaedics, Wythenshawe Hospital, Manchester, UK
  1. Correspondence to Mr Saleem Mastan, s.mastan{at}


This is a case of how a polytrauma patient was managed successfully. This 47-year-old woman was a victim of a detonated improvised explosive device in a terror attack. She had multiple injuries and underwent damage control surgery. She suffered significant bone loss with an open distal tibia pilon fracture, which we reconstructed with novel techniques. About 18 months postoperative, she is mobilising without the use of any aids.

  • orthopaedic and trauma surgery
  • plastic and reconstructive surgery
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  • Contributors SM was involved in consenting the patient, writing the summary, main text, discussion, obtaining the images, references and submitting the case report. AP was involved in planning the case report, checking the written text, being involved in re-wording the bulk of the discussion and the the bulk of the case itself. He also checked the paper before submission.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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