Case ReportsPosterolateral Approach for Tibial Pilon Fractures: A Report of Two CasesKonrath, Gregory A.; Hopkins, Gail II* Author Information Lafayette Orthopedic Clinic, Lafayette, Indiana, U.S.A.; and *Loma Linda University, Loma Linda, California, U.S.A. Accepted March 16, 1999. Address correspondence and reprint requests to Dr. Gregory A. Konrath, Lafayette Orthopedic Clinic, 2525 South Street, Lafayette, IN 47904-3075, U.S.A. No financial support of this project has occurred. The authors have received nothing of value. This manuscript does not contain information about medical devices. Journal of Orthopaedic Trauma 13(8):p 586-589, November 1999. Buy Abstract Open reduction and internal fixation (ORIF) of displaced tibial pilon fractures can lead to a high percentage of good and excellent functional results, but has also been associated with a meaningful incidence of wound breakdown and infection. The use of the posterolateral approach to the distal tibia for ORIF of tibial pilon fractures is presented. This may be used instead of the standard anteromedial incision in certain fracture configurations. The flexor hallucis longus muscle coverage overlying the plate fixation of the tibia and ability to fix both the tibia and fibula through the same incision may decrease the risk of deep infection and wound complications in these injuries frequently associated with marked soft tissue trauma. © 1999 Lippincott Williams & Wilkins, Inc.