Current Strategies in Pilon Fracture Management and Looking to the Future

Historically high complication rates encouraged the evolution of pilon fracture management. This article reviews these complex fractures, offering insight into the evolution of treatment with a glimpse into future management techniques, while superimposing our experience with included retrospective analysis of 41 pilon fractures treated at our institution by a single surgeon (T.M.C.) spanning 60 months. With improved understanding and advancing technology, multiple literature-supported strategies are available for the management of these limb-threatening traumas. Intriguing strategies needing further investigation may one day shift the paradigm; as for now, the foundational principles of pilon fracture management continue to anchor the treatment strategy.