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Abstract
The terms pilon fracture, pylon fracture and plafond fracture have all
been used to de ’cribe high-energy fracture ’ of the articular surface of the
distal tibia (Fig.I):
Flg. 1: libi I plafoud.
rom (Orozco er at. 199 J.
In 19J 1, Destot a’ igned the term ”pilou” fracture. referring to the talus
acting like a hummer driving into the weight-bearing urface of the distal
tibia (Destot, 1911)’.
In 19-0. Bonin described the .e iujurie as «tibial plafond fracrures” a
an anatomic correlation to the containment of the dome of the talus by th
distal tibia, and b cause of the disruption of the roof of the ankle joint
(Bonin, 19.M).
However, the word pilon do s not appear in either Web ’fer’s inth
’ew Collegiate Di tionary OI Dorland s Illustrated Medical Dictionary.
A cording to Webster’s, plafond is a french v ord originating in
. Iiddle Fr ncb from plat meaning ”flat” and food meaning ”botton]”.
Therefore. fracture of the tibial plsfoud is our preferred terminology
(Web tel’, 1984).
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