Fig. 4
From: Tips and Tricks in surgical reduction of the posterior column of AO/OTA C3 pilon fractures
A 58-year-old man involved in a motor vehicle accident developed AO/OTA C3 pilon fracture. A & B) Preoperative anteroposterior and lateral radiographs showed the fibular fracture and distal tibial articular surface comminuted fracture. C) Preoperative sagittal computed tomography (CT) scans showed comminuted fracture of the posterior column articular surface. D & E) The anteroposterior and lateral radiographs showed good reduction and fixation after open reduction and internal fixation through the combined posterolateral and anterior extensile approach. F) Postoperative sagittal CT scans showed that the congruency of the articular surface was not satisfactory