Pilon fracture

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Ankle

axial loading injury-suspect other Fx as well (calcaneal,talar dome, tibial plateau, femoral neck,acetabular,L spine)

-watch for compartment syndrome

bad Fracture common to have poor outcomes

-up to 10-55% complication rate

-non-union rates from 25 up to 100% with severe Fx

-malunion rates up to 42% in some series.

-post-traumatic arthritis extremely common.

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