(iii) Fractures of the tibial pilon

Pilon fractures are severe injuries, with potential to cause long term disability. Outcome depends on the soft tissue injury sustained and the quality of skeletal reconstruction. The evolution of management strategies is discussed, based on understanding the anatomy and classification of this heterogeneous group of injuries. They are approached with a view to formulating a safe management plan to minimize complications associated with treatment, whilst optimizing the outcome by careful soft and hard tissue handling.