Abstract Pilon fractures often involving a lengthy, sometimes painful recovery time. Aim; to evaluate the effect of rehabilitation exercises program on Pilon fracture outcome. Research hypothesis; the outcome of study group patients will be better than the outcome of control group. Patients and Methods: A quasi – experimental research design was utilized. Setting; the study was conducted in Traumatology Department of Assuit University Hospital. A convenience sample of sixty patients diagnosed with Pilon fracture divided into study and control group (thirty for each). Tools; tool I "Patient assessment sheet", tool II “Modified Mazur scale [1]". The control group exposed to routine hospital care while study group patients received the rehabilitation exercises program. Results revealed better outcome among study group patients than control group; Mazur score (85.27 ± 8.69 vs. 72.57 ± 13.43), and marked reduction in postoperative complications rate. Conclusion: This study proved that; application of rehabilitation exercises program had a statistically significant improvement on Pilon fracture outcome that was apparent in fewer postoperative complications rate and raised level of Mazur score among study group. Recommendation: Rehabilitation exercises program for Pilon fracture should be carried out on an individual basis from beginning of this fracture to prevent postoperative complications and achieve better outcome.