Tibia pilon fractures are usually the result of high-energy traumas and their management is challenging for surgeons. Success of the treatment depends on meticulous and systematic evaluation of the fracture characteristics and condition of the soft tissue envelope. Computerized tomography (CT) examination following routine X-ray is mandatory to define the joint displacement and location of bone fragments. Pilon fractures are usually evaluated by Rüedi and Allgöwer, and AO Foundation and Othopaedic Trauma Association (AO/OTA) classifications that are based on X-ray examinations. Besides, CT based classifications are also defined which contribute to management decisions.