![]() modified the anteromedial approach to increase fracture exposure and decrease soft tissue-related complications. AO/ASIF also described classic surgical approaches for tibial Pilon fractures, including the anteromedial approach and the posterolateral approach, which are still widely used in clinical practice. The Association for Osteosynthesis/Association for the Study of Internal Fixation (AO/ASIF) first proposed four classic management principles for addressing tibial Pilon fractures, including (1) restoration of fibular length, (2) anatomic reduction of the articular surface, (3) filling the residual bone defect with cancellous autograft, and (4) stabilization of the medial column. This type of fracture is often accompanied by severe soft tissue damage and is therefore characterized by high disability and teratogenicity as well as challenging treatment options. Among all Pilon fractures, about 30% are complex Pilon fractures (AO/OTA43C type) caused by high-energy injuries. Tibial Pilon fractures are not common, accounting for only 5–7% of tibial fractures. The Creative Commons Public Domain Dedication waiver ( ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. ![]() Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made.
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