[Possible complications following pilon fractures and their management]

The management of pilon fractures presents major challenges for both the treating team and the patient. As these fractures are often caused by high-impact forces, it is not uncommon for the injury patterns to result in considerable damage to the bone, cartilage and soft tissues. Despite competent and prompt treatment, these fractures are characterized by a relatively high complication rate. Classical early and late complications can be distinguished. Various complications, such as impaired wound healing, infections, non-union and osteoarthritis, along with their risks and possible treatment strategies, are explained in this article. The aim is to raise awareness of complications and potential errors in the management of pilon fractures, thereby reducing their incidence through preventive measures and facilitating treatment.