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A 22 year‐old man with a high‐energy open pilon fracture (Gustilo II & C2) (a) Photograph showing open soft tissue injury (Gustilo II). (b) Preoperative radiographs showing Pilon fracture of type C2. (c) Postoperative radiographs showing the fractures have been anatomically reduced and fixed with external fixation, and the tibial fracture fixed with limited internal fixation. (d) Anteroposterior and lateral radiographs demonstrating the fractures have healed 1.5 year after surgery.
