Fractures of the tibial pilon are difficult to manage because of their severity they are the product of high energy compression forces and too frequently result in comminution and impaction of the weight bearing surface of the distal tibia. Key points tibial pilon fractures are severe injuries affecting the distal tibia whereby the tibial plafond is injured by the patients will present following high energy trauma therefore concurrent injuries are common check neurovascular status and for any evidence of an open fracture or . A pilon fracture is a type of break that occurs at the bottom of the tibia shinbone and involves the weight bearing surface of the ankle joint with this type of injury the other bone in the lower leg the fibula is frequently broken as well
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