some quick points on the long term recovery of Pilon Fractures....
Depending upon your job or recreational activities, there is up to a 90% chance that you can return to your preinjury activity level. However, if you have a demanding manual labor job or enjoy high-impact recreational activities, you may need to consider changing professions or limiting your activities.
Patients who enjoy high-impact activities, like sports, usually do not resume them until a minimum of 6 months after surgery or injury. If you have a manual labor job, you will typically need 4 to 6 months of rehabilitation before going back on full duty at work.
It is common to limp for several months after your injury because of stiffness, discomfort, and weakness. Studies have shown that people with pilon injuries often continue to improve for up to 2 years after injury. Typically after the two year mark you're about as good as you're going to get.
Arthritits between the distal tibia and the talus is fairly common and usually will continue to worsen with age....IGF may help you with the development of new chondrocytes and allow for new articular cartilage formation, slowing the process of arthritis.