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Abstract
Of length with fibular fixation, reconstruction of the articular surface, bone grafting, and buttress of the metadiaphyseal reconstruction still remain the foundation of optimal management. Modifications include the importance of soft tissue management, with particular focus paid to soft tissue edema and blister resolution. In view of the limitations of external fixation alone for the treatment of pilon fractures, limited open techniques were used as adjuvant to this treatment strategy in an effort to improve articular reduction of the plafond. The external fixator was used with plate osteosynthesis to maintain the length, alignment and rotation of the reconstructed articular block to the tibial shaft.(Tornetta et al,1993) We found that wound problems after internal fixation were minimal and did not require additional surgery. This finding was likely the result of careful patient selection and delay of the operative procedure