Fractures of the distal end of the tibial plafond are also named Pilon fractures with incidence rate about 1% to 10% of tibial fractures.
The Ruedi and Allgower and (AO) / (OTA) are the two commonly classifications used to classify the pilon fractures. The current AO/OTA classification is the most descriptive system in the literature. Fractures of the distal end of the tibia as assigned the number 43.
Treatment of tibial plafond fractures is challenging due to the difficulty of achieving an anatomical reduction without complications. Reduction may be achieved by antero-medial or antero-lateral approacheswith limitations of antero-medial approach due to poor visualization of anetro-lateral fragment and poor soft tissue coverage leading to wound break down with implant exposure.
The antero-lateral anatomical locking distal tibial plate used in this study was designed according to the anatomical features of the anterolateral surface of the distal tibia of healthy adults with less metalwork irritation symptoms and the ability to fix associated fibular fractures through the same approach.