23, No. CT, with its transaxial orientation, is the only radiographic technique that directly images the otherwise inaccessible, horizontally oriented tibial plafond, the integrity of which largely determines the prognosis. 1, The Journal of Foot and Ankle Surgery, Vol. In this retrospective and multicentre study we attempted to detail complications and outcomes of this type of injury in order to determine predictive factors of poor results. The authors' treatment principles are discussed and the results of a consecutive group of 20 patients, including long-term follow-up (median 6 1/12 years) are described. SOFT TISSUE Paucity of soft tissue coverag eon the anterior aspect 5. 2. 6, The Journal of Trauma: Injury, Infection, and Critical Care, Vol. Central depressions are more stable than lateral or posterior. CT is the method of choice for preoperative and postoperative evaluation of these injuries. Tibial tubercle fracture will have tenderness over the anterior tibia approximately 3 cm distal to the articular surface. Subsequent modifications of the Denis classification have recognized that with an intact posterior ligamentous complex (PLC), two-column unstable injuries can be successfully treated non-surgically (3). Introduction. It remains unknown whether the SK combined external fixator (made by Double Medical Technology Inc., China) is effective for the treatment of distal metaphyseal tibia/fibula fractures in children. Between 2002 and 2004, 104 patients were admitted … According to Lauge Hansen the oblique fibular fracture indicates that this is a Supination Exorotation injury stage 2 or higher. ANATOMY Internal rotation of distal tibia 4. This system divides tibial plateau fractures into six types: Schatzker I: wedge-shaped pure cleavage fracture of the lateral tibial plateau, originally defined as having less than 4 mm of depression or displacement; Schatzker II: splitting and depression of the lateral tibial plateau; namely, type I fracture with a depressed component ©2015 [Kindle Edition] Table 3-3* …Distal Radius = 17% …Metacarpals = 11% …Proximal femur = 11% Figure 3-3 Distal Radius Tibial shaft Ankle M F Ankle fractures are increasingly common Figure 59-1 Incidence of ankle fractures in older women Kannus et al. Muller classification divides distal femoral fractures into 3 types, according to the localization of the fracture. Nonoperative Treatment Nonoperative treatment of distal tibial fractures is recommended only for truly nondisplaced fractures or fractures in patients that have an absolute contraindication for surgical management. 15, No. 12, Journal of Orthopaedic Trauma, Vol. 116, No. 2009;193 (5): 1354-60. 3, Journal of Orthopaedic Trauma, Vol. Check for errors and try again. Classification of fractures of the tibial condyles. 4, Journal of Pediatric Orthopaedics, Vol. Fracture Assessment and Decision Making. Plafond fractures are also known as \"pilon\" fracture, or \"explosion fracture.\" •Tibial plateau fracture •Suprapatellar fat pad •Does not change on repositioning in contrast to lipohemarthrosis. 34, No. Current treatment of pediatric distal metaphyseal tibial/fibular fractures is challenging due to poor skin and soft tissue coverage and limited blood supply to the distal tibia area in children. 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