Abstract: Introduction: Surgeons still have a lot of difficulties when it comes to reducing and fixing pilon fractures. Aim is to analyses the functional outcome of Tibial pilon fractures treated by plate osteosynthesis and to assess the soft tissue status, fracture pattern, treatment and complications of pilon fractures Materials and Methods: This study was conducted retrospectively between January 2010 and January 2013. After receiving their informed written consent, a total of 20 patients with Tibial Pilon Fractures (including fourteen men and six women) admitted to the Government Erode Medical College and Hospital, Perundurai, Tamil Nadu were used for this study. Results: At the conclusion of the 12th and 24th month of follow-up, the functional result was evaluated using the Subjective and Objective criteria of Burwell and Charnley. One patient sustained a head injury out of the 20 participants in our study. Twelve patients had a fractured fibula that was associated. open fractures in 3 patients. Seven patients got a third Tubular plate fixation and five underwent a Rush nail for the 12 related fibula fractures. Conclusion: It took an average of 16 weeks for all the fractures to heal. 80% of the 20 patients in the current study who had pilon fractures treated with plate osteosynthesis had positive outcomes. A better prognosis will result from careful evaluation of the mechanism of injury and effective preoperative planning for the joint reconstruction