Table 1 Timeline of key events in the case based on referral to our institute as the baseline
Time (months since referral to our institute) | Event |
|---|---|
−10 | Initial injury (fall on stairs, diagnosed as pilon fracture) |
−9.8 | Osteosynthesis surgery |
−7 | Persistent pain noted; follow-up radiographs show gradual joint destruction |
0 | Referral to our institute |
0.2 | First-stage surgery (debridement, cement spacer insertion) |
1.3 | Second-stage surgery (spacer removal, bone grafting, internal fixation) |
7.3 | Patient begins full weight bearing |
25.5 | Complete consolidation (radiological confirmation) |