The acute management of Pilon fractures (ENFORCE) study: a national evaluation of practice

The management of tibial Pilon fractures is variable, with just over half of complete articular fractures managed with the gold standard 'span, scan, plan' staged soft tissue resuscitation. A national standard of care would increase the profile and standardise management of these potentially limb-threatening injuries, together with setting them apart from more straightforward ankle fractures.