Intra-articular Fractures of the distal aspect of the tibia are amongst the mostComplex injury of the leg and represent a major treatment challenge. TheManagement of these injuries is controversial and published outcomes varyDramatically from method to method and also from author to author.Everything about these factures seems uneertain even including the use of the namepilon fracture Me cormackdef defines all fractures. involving the horizontal weightbearingsurface of the distal tibia as tibial plafond fractures.she defines fractures of thepilon as being fractures of the supra-malleolar portion of the distal tibia whichusually extend into the plafond. The most commonly accepted definition,however.isthat suggested by Tile as being a fracture of distal tistal tibial metaphysic involvingthe ankle joint.