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All fracture healed really from 9.5 to 15 months with an average of (12.00±1.43) months. No disease, epidermis necrosis, loosen and broken of internal fixation, loosing of fracture decrease occurred. Mazur ankle joint score at one year (92.11± 5.28) results was greater than 9 months (89.33±5.2 results (t=7.976, P less then 0.001) . CONCLUSION Delayed inner fixation through anteromedial and posterolateral strategy of rearfoot for Pilon fracture coupled with f
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