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Distal Tibia Pilon FracturesPilon fractures are rare, accounting for less than 10% of fractures around the ankle. The soft tissue in the distal tibia is unforgiving with poor soft-tissue coverage, increasing the difficulty of fracture management. Pilon fractures are known for comminution, displacement of the articular surface, and soft-tissue injury. Most fractures will require operative fixation due to alteration in joint congruency and overall limb alignment. Definitive operative treatment should be catered to the specific fracture pattern, soft-tissue injury, and patient. Appropriate timing of surgical treatment is essential for successful outcomes.
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