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Abstract Two distinct mechanisms are believed to be responsible for most tibial pilon fractures: low-stress trauma (sports injuries), which is less common and secondary to rotational forces, and high-stress trauma (motor vehicle accidents, falls from height, workplace accidents), which is more common and produces axial transmission of the load with the talus pushed onto the distal tibia, resulting in a multifragmentary implosion of bones and cartilage structures .The pattern of the fracture with thi smechanism of injury depends on the position of the foot at the |