PATIENT 58-year-old male. FRACTURE Type 43-C3 open fracture according to AO classification. TREATMENT AND OUTCOME Patient stimulated with Biostim ® therapy 35 days after surgery with axial external fixator. After two months of therapy, recovery of skin trophism. After three months of Biostim ® therapy, union achieved. At nine months after the trauma, complete functional recovery. Risk Fractures Tibial Pilon Fracture PHYSICIAN: Dr. A. Ambrosone - A. Perrino Hospital - Brindisi Fracture cause Road traffic trauma. Exposed type 43-C3 fracture. Emergency surgery with axial external fixator (AEF). After 35 days, tibiotarsal joint unblocked to begin ankle kinesis. Biostim ® therapy for three months. • After four months, gradual weight bearing and union. End of Biostim ® therapy. • After five months, full weight bearing with AEF. • After seven months, fixator removal. • After nine months, full functional recovery. Risk factors Treatment