Pilon fracture bursted

Patient 55 years, polytrauma. Exposed pilon tibial fracture. Humerus fracture, radius fracture, pelvis fracture (posterior acetabular wall and posterior instability). Knee: no lesions.

Which choice do you think is correct regarding the pilon fracture (exposed and complicated by infection):

  1. leg amputation ?
  2. limb salvage ?

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