Operatively Treated Open Pilon Fractures

Inclusion Criteria: * Patients admitted to the Hershey Medical Center with a primary diagnosis of an open pilon fracture and surgically treated between 1/1/2000 and 12/31/2007. * Temporization of the fracture may be performed elsewhere or by other orthopaedists at the Hershey Medical Center. Definitive surgery must be performed by Dr.'s David Goodspeed, J. Spence Reid, or Robert Simpson. Exclusion Criteria: * closed pilon fracture or pathological fracture; definitive fracture fixation performed outside the Hershey Medical center or by a surgeon other than Dr.'s David Goodspeed, J. Spence Reid, and Robert Simpson; patient is diagnosed with active infection at the time of first surgery at the Penn State Hershey Medical Center; patient is less than 18 years of age at the time of definitive surgery; * patient is mentally compromised and unable to give consent; * does not cooperate with survey data acquisition; patient is deceased; * patient presented with significant ipsilateral leg fracture or injury at anytime within the time frame of the study.