U. Heim and M. Näser, Fractures of the lower tibia. Results of 128 osteosynthesis, Rev Chir Orthop, vol.63, pp.5-12, 1977.

C. M. Court-brown, S. Rimmer, U. Prakash, and M. M. Mcqueen, The epidemiology of open long bone fractures, Injury, vol.29, pp.529-563, 1998.

C. J. Topliss, M. Jackson, and R. M. Atkins, Anatomy of pilon fractures of the distal tibia, J Bone Joint Surg Br, vol.87, pp.692-699, 2005.

G. Copin and C. Nerot, Les fractures du pilon tibial de l'adulte, Rev Chir Orthop, pp.33-83, 1992.

P. Aubry and G. Fieve, Bone and skin vascularization of the lower 4th of the leg, Rev Chir Orthop, vol.70, pp.589-97, 1984.

A. N. Pollak, M. L. Mccarthy, R. S. Bess, J. Agel, and M. F. Swiontkowski, Outcomes after treatment of high-energy tibial plafond fractures, J Bone Joint Surg Am, vol.85, pp.1893-900, 2003.

T. Rüedi, P. Matter, and M. Allgöwer, Intra-articular fractures of the distal tibial end, Helv Chir Acta, vol.35, pp.556-82, 1968.

T. P. Rüedi and M. Allgöwer, The operative treatment of intra-articular fractures of the lower end of the tibia, Clin Orthop Relat Res, vol.138, pp.105-115, 1979.

M. A. Mcferran, S. W. Smith, H. J. Boulas, and H. S. Schwartz, Complications encountered in the treatment of pilon fractures, J Orthop Trauma, vol.6, pp.195-200, 1992.

L. Bone, P. Stegemann, K. Mcnamara, and R. Seibel, External fixation of severely comminuted and open tibial pilon fractures, Clin Orthop Relat Res, vol.292, pp.101-108, 1993.

F. Dujardin, H. Abdulmutalib, and A. C. Tobenas, Total fractures of the tibial pilon, Orthop Traumatol Surg Res, vol.100, pp.65-74, 2014.

U. K. Meena, M. C. Bansal, P. Behera, R. Upadhyay, and G. C. Gothwal, Evaluation of functional outcome of pilon fractures managed with limited internal fixation and external fixation: A prospective clinical study, J Clin Orthop Trauma, vol.8, pp.16-20, 2017.

V. N. Galante, G. Vicenti, C. G. Mori, C. Abate, A. Picca et al., Hybrid external fixation in the treatment of tibial pilon fractures: A retrospective analysis of 162 fractures, Injury, vol.47, pp.131-138, 2016.

M. Scaglione, F. Celli, F. Casella, and L. Fabbri, Tibial pilon fractures treated with hybrid external fixator: analysis of 75 cases, Musculoskelet Surg, vol.103, pp.83-89, 2019.

C. Mauffrey, G. Vasario, B. Battiston, C. Lewis, J. Beazley et al., Tibial pilon fractures, pp.64-72

, a review of incidence, diagnosis, treatment, and complications, Acta Orthop Belg, vol.77, pp.432-472, 2011.

P. Abrahams, J. D. Spratt, M. Loukas, V. Schoor, and A. , Atlas clinique d'anatomie humaine de McMinn et Abrahams: imagerie clinique et de dissection, 2014.

F. H. Netter, Atlas d'anatomie humaine. 7e édition, 2019.

S. Plaweski, A. Huboud-peron, C. Faure, and P. Merloz, Fractures du pilon tibial. Encycl Méd Chir Appareil locomoteur, 1999.

M. E. Müller, S. Nazarian, P. Koch, and J. Schatzker, The Comprehensive Classification of Fractures of Long Bones, 2012.

X. Qiu, X. Li, X. Qi, Z. Wang, and Y. Chen, What Is the Most Reliable Classification System to Assess Tibial Pilon Fractures?, J Foot Ankle Surg. févr, vol.59, pp.48-52, 2020.

R. B. Gustilo, R. M. Mendoza, and D. N. Williams, Problems in the management of type III (severe) open fractures: a new classification of type III open fractures, J Trauma, vol.24, pp.742-748, 1984.

H. Oestern and H. Tscherne, Pathophysiology and Classification of Soft Tissue Injuries Associated with Fractures. Fractures with Soft Tissue Injuries, 1984.

C. Dujardin, M. Goldzak, and P. Simon, Fractures du pilon tibial. Encycl Méd Chir Appareil locomoteur, 2009.

S. M. Teeny and D. A. Wiss, Open reduction and internal fixation of tibial plafond fractures

, Variables contributing to poor results and complications, Clin Orthop Relat Res, vol.292, pp.108-125, 1993.

B. Wyrsch, M. A. Mcferran, M. Mcandrew, T. J. Limbird, M. C. Harper et al.,

, Operative treatment of fractures of the tibial plafond. A randomized, prospective study, J Bone Joint Surg Am, vol.78, pp.1646-57, 1996.

C. Deivaraju, R. Vlasak, and K. Sadasivan, Staged treatment of pilon fractures, Journal of Orthopaedics, vol.12, pp.1-6, 2015.

R. Carbonell-escobar, J. C. Rubio-suarez, A. Ibarzabal-gil, and E. C. Rodriguez-merchan, Analysis of the variables affecting outcome in fractures of the tibial pilon treated by open reduction and internal fixation, J Clin Orthop Trauma, vol.8, pp.332-340, 2017.

M. Assal, A. Ray, and R. Stern, Strategies for surgical approaches in open reduction internal fixation of pilon fractures, J Orthop Trauma, vol.29, pp.69-79, 2015.

M. E. Muller, Manual of internal fixation. Techniques recommended by the AO group, 1990.

G. Vicenti, D. Bizzoca, V. S. Nappi, M. Carrozzo, M. Delmedico et al., The impact of lag screw in the healing time of distal tibia fractures treated with minimally invasive plate osteosynthesis: A randomized clinical trial, Injury, vol.1383, pp.30117-30117, 2020.

D. Vidovi?, A. Matej?i?, M. Ivica, D. Juri?i?, E. Elabjer et al., Minimally-invasive plate osteosynthesis in distal tibial fractures: Results and complications, Injury, vol.46, pp.96-99, 2015.

C. Biz, A. Angelini, M. Zamperetti, F. Marzotto, S. P. Sperotto et al.,

, Term Radiographic and Clinical Outcomes after Surgical Treatment of Intra-Articular Tibial Pilon Fractures by Three Different Techniques, Biomed Res Int, p.6054021, 2018.

G. C. Babis, E. D. Vayanos, N. Papaioannou, and T. Pantazopoulos, Results of surgical treatment of tibial plafond fractures, Clin Orthop Relat Res, vol.341, pp.99-105, 1997.

M. Blauth, L. Bastian, C. Krettek, C. Knop, and S. Evans, Surgical options for the treatment of severe tibial pilon fractures: a study of three techniques, J Orthop Trauma, vol.15, pp.153-60, 2001.

G. A. Ilizarov, The principles of the Ilizarov method, Bull Hosp Jt Dis Orthop Inst, vol.48, pp.1-11, 1988.

G. C. Babis, P. Kontovazenitis, D. S. Evangelopoulos, P. Tsailas, K. Nikolopoulos et al.,

, Distal tibial fractures treated with hybrid external fixation, Injury. mars, vol.41, pp.253-261, 2010.

C. Fan, C. Chiang, T. Chuang, F. Chiu, and T. Chen, Interlocking nails for displaced metaphyseal fractures of the distal tibia, Injury, vol.36, pp.669-74, 2005.

J. T. Gorczyca, J. Mckale, K. Pugh, and D. Pienkowski, Modified tibial nails for treating distal tibia fractures, J Orthop Trauma, vol.16, pp.18-22, 2002.

C. Krettek, C. Stephan, P. Schandelmaier, M. Richter, H. C. Pape et al., The use of Poller screws as blocking screws in stabilising tibial fractures treated with small diameter intramedullary nails, J Bone Joint Surg Br, vol.81, pp.963-971, 1999.

C. Casstevens, T. Le, M. T. Archdeacon, and J. D. Wyrick, Management of extra-articular fractures of the distal tibia: intramedullary nailing versus plate fixation, J Am Acad Orthop Surg, vol.20, pp.675-83, 2012.

P. Joveniaux, X. Ohl, A. Harisboure, A. Berrichi, L. Labatut et al., Distal tibia fractures: management and complications of 101 cases, International Orthopaedics, vol.34, p.583, 2010.

D. Volgas, J. G. Devries, and J. P. Stannard, Short-term financial outcomes of pilon fractures, J Page, vol.66, issue.72

, Foot Ankle Surg, vol.49, pp.47-51, 2010.

S. A. Kottmeier, R. D. Madison, and N. Divaris, Pilon Fracture: Preventing Complications, J Am Acad Orthop Surg, vol.26, pp.640-51, 2018.

A. Bianchi-maiocchi, Atlas for the insertion of transosseous wire and half pins. Ilizarov method. Medi surgical, 2007.

D. Wang, J. Xiang, X. Chen, Q. Zhu, and . Meta, Analysis for Postoperative Complications in Tibial Plafond Fracture: Open Reduction and Internal Fixation Versus Limited Internal Fixation Combined With External Fixator, J Foot Ankle Surg, vol.54, pp.646-51, 2015.

M. E. Muller, S. Nazarian, and P. Koch, Classification AO des fractures, 1987.

F. Leung, H. Y. Kwok, T. S. Pun, and S. P. Chow, Limited open reduction and Ilizarov external fixation in the treatment of distal tibial fractures, Injury, vol.35, pp.278-83, 2004.

M. J. Vives, N. A. Abidi, S. N. Ishikawa, R. V. Taliwal, and P. F. Sharkey, Soft tissue injuries with the use of safe corridors for transfixion wire placement during external fixation of distal tibia fractures: an anatomic study, J Orthop Trauma, vol.15, pp.555-564, 2001.

C. S. Roberts, V. Antoci, V. Antoci, and M. J. Voor, The effect of transfixion wire crossing angle on the stiffness of fine wire external fixation: a biomechanical study, Injury, vol.36, pp.1107-1119, 2005.

A. Moroni, L. Orienti, S. Stea, and M. Visentin, Improvement of the bone-pin interface with hydroxyapatite coating: an in vivo long-term experimental study, J Orthop Trauma, vol.10, pp.236-278, 1996.

Y. Sarpel, M. Gulsen, E. Togrul, M. Capa, and M. Herdem, Comparison of mechanical performance among different frame configurations of the Ilizarov external fixator: experimental study, J Trauma, vol.58, pp.546-52, 2005.

C. L. Goldstein, E. Schemitsch, M. Bhandari, G. Mathew, and B. A. Petrisor, Comparison of different outcome instruments following foot and ankle trauma, Foot Ankle Int, vol.31, pp.1075-80, 2010.

S. Safavi, P. Janney, C. Jupiter, D. Kunzler, D. Bui et al., A Systematic Review of the Outcome Evaluation Tools for the Foot and Ankle, Foot Ankle Spec, vol.12, pp.461-70, 2019.

H. N. Burwell and A. D. Charnley, The treatment of displaced fractures at the ankle by rigid internal fixation and early joint movement, J Bone Joint Surg Br, vol.47, pp.634-60, 1965.

I. S. Tarkin, M. P. Clare, A. Marcantonio, and H. C. Pape, An update on the management of highenergy pilon fractures, Injury, vol.39, pp.142-54, 2008.

J. E. Richards, M. Magill, M. A. Tressler, F. D. Shuler, P. J. Kregor et al., External fixation versus ORIF for distal intra-articular tibia fractures, Orthopedics, vol.35, pp.862-867, 2012.

J. C. Rubio-suarez, R. Carbonell-escobar, E. C. Rodriguez-merchan, A. Ibarzabal-gil, and . Gil-garay,

E. , Fractures of the tibial pilon treated by open reduction and internal fixation (locking compression plate-less invasive stabilising system): Complications and sequelae, Injury, vol.49, pp.60-64, 2018.

G. Papadokostakis, G. Kontakis, P. Giannoudis, and A. Hadjipavlou, External fixation devices in the treatment of fractures of the tibial plafond: a systematic review of the literature, J Bone Joint Surg Br, vol.90, pp.1-6, 2008.

P. Koulouvaris, K. Stafylas, G. Mitsionis, M. Vekris, A. Mavrodontidis et al., Long-term results of various therapy concepts in severe pilon fractures, Arch Orthop Trauma Surg, vol.127, pp.313-333, 2007.

R. Barbieri, R. Schenk, K. Koval, K. Aurori, and B. Aurori, Hybrid external fixation in the treatment of tibial plafond fractures, Clin Orthop Relat Res, vol.332, pp.16-22, 1996.

J. Ristiniemi, T. Flinkkilä, P. Hyvönen, M. Lakovaara, H. Pakarinen et al., Two-ring hybrid external fixation of distal tibial fractures: a review of 47 cases, J Trauma, vol.62, pp.174-83, 2007.

D. J. Hak, D. Fitzpatrick, J. A. Bishop, J. L. Marsh, S. Tilp et al., Delayed union and nonunions: epidemiology, clinical issues, and financial aspects, Injury, vol.45, pp.3-7, 2014.

S. Pierre, C. Rivera, L. Maître, B. Ruppert, A. Bouaziz et al., Guidelines on smoking management during the perioperative period, Anaesth Crit Care Pain Med, vol.36, pp.195-200, 2017.

R. G. Pearson, R. Clement, K. L. Edwards, and B. E. Scammell, Do smokers have greater risk of delayed and non-union after fracture, osteotomy and arthrodesis? A systematic review with meta-analysis, BMJ Open, vol.6, p.11, 2016.

M. Voor, V. Antoci, B. Kam, and C. Roberts, Hybrid external fixation of proximal tibia fractures: biomechanical analysis of four commercial systems, Orthopedics, vol.30, pp.1033-1041, 2007.

E. Yilmaz, O. Belhan, L. Karakurt, N. Arslan, and E. Serin, Mechanical performance of hybrid

, Ilizarov external fixator in comparison with Ilizarov circular external fixator, Clin Biomech, vol.18, pp.518-540, 2003.

G. P. Griffiths and D. B. Thordarson, Tibial plafond fractures: limited internal fixation and a hybrid external fixator, Foot Ankle Int, vol.17, pp.444-452, 1996.

E. Abd-almageed, Y. Marwan, A. Esmaeel, A. Mallur, and B. El-alfy, Hybrid External Fixation for

. Arbeitsgemeinschaft-für-osteosynthesefragen, AO) 43-C Tibial Plafond Fractures, J Foot Ankle Surg, vol.54, pp.1031-1037, 2015.

M. Scaglione, F. Celli, F. Casella, and L. Fabbri, Tibial pilon fractures treated with hybrid external fixator: analysis of 75 cases, Musculoskelet Surg, vol.103, pp.83-89, 2019.

M. G. Mcdonald, R. C. Burgess, L. E. Bolano, and P. J. Nicholls, Ilizarov treatment of pilon fractures

, Clin Orthop Relat Res, vol.325, pp.232-240, 1996.

J. De-las-heras-romero, A. M. Lledo-alvarez, A. Lizaur-utrilla, and F. A. Lopez-prats, Quality of life and prognostic factors after intra-articular tibial pilon fracture, Injury, vol.48, pp.1258-63, 2017.

S. Boraiah, T. J. Kemp, A. Erwteman, P. A. Lucas, and D. E. Asprinio, Outcome following open reduction and internal fixation of open pilon fractures, J Bone Joint Surg Am, vol.92, pp.346-52, 2010.

N. Silluzio, V. D. Santis, E. Marzetti, A. Piccioli, M. A. Rosa et al., Clinical and radiographic outcomes in patients operated for complex open tibial pilon fractures, Injury, vol.50, pp.24-32, 2019.

B. Viberg, S. Kleven, E. Hamborg-petersen, and O. Skov, Complications and functional outcome after fixation of distal tibia fractures with locking plate -A multicentre study, Injury, vol.47, pp.1514-1522, 2016.

, Au moment d'être admis à exercer la Médecine, je promets et je jure d'être fidèle aux lois de l'honneur et de la probité

, Mon premier souci sera de rétablir, de préserver ou de promouvoir la santé dans tous ses éléments, physiques et mentaux, individuels et sociaux

, Je respecterai toutes les personnes, leur autonomie et leur volonté, sans aucune discrimination selon leur état ou leurs convictions. J'interviendrai pour les protéger si elles sont affaiblies, vulnérables ou menacées dans leur intégrité ou leur dignité. Même sous la contrainte

, Je ne tromperai jamais leur confiance et n'exploiterai pas le pouvoir hérité des circonstances pour forcer les consciences

, Je ne me laisserai pas influencer par la soif du gain ou la recherche de la gloire

, Reçu à l'intérieur des maisons, je respecterai les secrets des foyers et ma conduite ne servira pas à corrompre les moeurs

, Je ne prolongerai pas abusivement les agonies. Je ne provoquerai jamais la mort délibérément

, Je préserverai l'indépendance nécessaire à l'accomplissement de ma mission

, Je les entretiendrai et les perfectionnerai pour assurer au mieux les services qui me seront demandés

, J'apporterai mon aide à mes confrères ainsi qu'à leurs familles dans l'adversité

, Que les hommes et mes confrères m'accordent leur estime si je suis fidèle à mes promesses