RÉSUMÉ
To evaluate the outcome of operative fixation of pilon fracture. It was descriptive, non randomized uncontrolled study. It was conducted at Civil Hospital Quetta. Study included 41 patients out of which 10 patients were excluded from study due to various reasons at the end of study 31 patients were available, whose results were analyzed. A total number of 31 patients entered the study between 15 June 2007 June 20, 2008. The patients that were lost in follow up were not included in the study. Out of the 31 cases in 11 the fibula was fixed with 1/3rd tubular plate with 3 patients having good, 4 fair and 5 poor result. Four cases where ORIF with spoon plate was done on tibia and maintaining fibula length by 1/3 tubular plate had good results [100%]. In 3 cases tibia was fixed by screw only and fibula length was maintained by 1/3 tubular plate one had good one fair and poor results. In cases where tibia was stabilized by external fixator either combined or in single one patients had good 5 fair and 12 poor results