# Extensor Hallucis Longus Contracture Following Intramedullary Nailing for a Pilon Fracture

## TL;DR

This paper describes a rare case of EHL tendon fibrosis after a pilon fracture and discusses treatment and prevention methods.

## Contribution

The paper presents a rare case of isolated EHL fibrosis following a pilon fracture and offers insights into its management.

## Key findings

- EHL fibrosis is a rare complication following pilon fractures.
- The case highlights the importance of early recognition and treatment to improve outcomes.
- Preventive strategies are discussed to reduce the risk of this complication.

## Abstract

Extensor hallucis longus (EHL) fibrosis is an uncommon complication following a pilon fracture. This is caused by compartment syndrome from fracture immobilization followed by adhesion of muscle or tendon. Only a few cases of EHL fibrosis secondary to a post-traumatic lower leg fracture have been reported. This paper reports on a rare case of isolated EHL tendon fibrosis after a pilon fracture. It will outline the treatment received and the current prognosis of the patient, while also discussing methods for prevention of this complication.