There is no unified standard for the early treatment of Type C pilon fractures. At present, the calcaneal traction technique and adjustable reverse traction frame are commonly used. In order to analyze the clinical effects of these two techniques more accurately, the effect of the adjustable reverse traction frame in early treatment of Type C pilon fractures was compared. The Orthopedics Department of People’s Hospital of Zhongjiang County collected the clinical data of 57 cases of Type C pilon fracture of the distal tibia in the preoperative period from January 2018 to December 2021. There were 28 cases treated with calcaneal traction and 29 cases with adjustable reverse external frame. The results show that the use of the adjustable reverse traction frame in the treatment of Type C pilon fracture has the dual advantages of calcaneal traction and the traditional external frame. These include simple operation and assembly, low cost, and the ability to relieve swelling of the affected limb soon after application, which shortens the preoperative waiting period, reduces pain in the affected limb after injury, shortens the hospital stay, effectively reduces the fractured and staggered parts of the fracture, and obtains good remediation efficacy.