Fig. 4From: Surgical approach strategies for open reduction internal fixation of closed complex tibial Pilon fractures based on axial CT scansA 36-year-old male patient with Pilon fracture of the right tibia caused by fall injury. Preoperative X-ray (a, b) and CT scan (c) showed that the articular surface collapsed significantly, the posterior malleolar fragment involved the tarsal tunnel area, and the die-punch fragment was slightly anterolateralBack to article page