Tibial plafond fractures are one of the most challenging to manage. The risk of complication is high. Complications results from either the injury or the treatment, or both. To decrease treatment related complications, management strategies have change significantly since 1990.Tibial plafond fractures represent about 10% of all extremity fractures. Open tibial plafond fractures average from 12% to 56% of all tibial fractures and are two to four times more likely to be open medially than laterally.Tibial plafond fractures' have been treated by a variety of method, including cast lag screw fixation, open reduction and internal fixation, and a variety of external fixators have been used .More recently staged protocol has been advocated consisting of temporary external fixation spanning the ankle joint followed by open reduction and. Internal fixation with plates and screws after the condition of the soft tissue has-improved. A variety of external fixation have been used. Traditional half pins fixators that allowspanning the ankle, articulated half pins fixators that allow ankle motion, half pins fixators that do not span the ankle and ring fixators that combined tensioned wires with half pins in tibial-diaphysis and do not span the ankle. Hybrid frames may be composed of rings proximally and distally (ilizarov, Monticell Spinelli) or may use abar to connect the half pin proximally to a ring and wires distally. If there is any doubt about the condition of soft tissue, the safest course of treatment is external fixation or delayed open reduction and internal fixation after temporary external fixation,especially in higher energy injuries and open fractures.