Pilon Fracture
Medical term: Tibial Plafond Fracture
Overview
A pilon fracture is a break in the distal tibial articular surface, the weight-bearing dome of the ankle joint. These fractures are typically caused by axial loading injuries such as falls from height, motor vehicle accidents, or skiing crashes, where the talus is driven upward into the tibial plafond. The result is often a comminuted fracture with significant damage to the joint surface and surrounding soft tissues.
Pilon fractures are among the most challenging injuries that orthopedic trauma surgeons treat. The combination of articular damage, soft tissue swelling, and bone comminution requires a careful, often staged surgical approach. Our San Diego trauma team has specialized expertise in managing these complex injuries, using advanced techniques including CT-guided surgical planning, staged fixation protocols, and meticulous soft tissue handling to achieve the best possible outcomes.