Treatment Of Pilon Fracture

The pilon fracture is a metaphyseal injury extending into the ankle joint. The complexity of this injury continues to challenge most, if not all orthopedic surgeons. Over the past decade, there has been a shift in emphasis from the fracture as an isolated entity to an understanding that the soft tissue injury plays a large role in the outcome of treatment, This has resulted in a considerable change in the treatment, both from a perspective of timing as well as technique of fracture fixation. Coupled with this increased awareness regarding the importance of the soft tissues, there have been changes in the implants used for fracture fixation. This review will discuss both the opportunity of operation and technique of fracture fixation.