Plion fractures of the tibia are distal tibial fractures involving the tibial talar articular surface, and approximately 75% of Plion fractures are associated with fibular fractures. Most of them are caused by high-energy injuries, so there are often multiple injuries, difficult fracture management, frequent soft tissue necrosis, infection, bone discontinuity and poor repositioning causing traumatic arthritis. Etiology:Mostly caused by high-energy injuries from falls and motor vehicle accidents, resulting in axial stress impact-based distal tibial fractures, often of the comminuted type, with joint surface collapse and severe soft tissue damage. Performance:Since most of the fractures causing Plion are high-energy violence, it is important to first pay attention to the presence of combined injuries, and secondly to understand the degree of soft tissue injury, whether it is an open fracture, the degree of contamination, blood flow, and the presence of early manifestations of fascial compartment syndrome. Examination:X-rays are not difficult to make the diagnosis, and CT helps to understand the displacement of fracture fragments and facilitate surgical planning. Treatment:Conservative treatment, including plaster fixation and bone traction, is indicated for nondisplaced fractures or fracture comminution and severe soft tissue injury. For type C fractures, external bracing combined with limited internal fixation with incision is recommended to reduce soft tissue stripping, protect blood flow and fix the joint surface. Amputation can be performed for severe destruction of injury.