ABSTRACT

CONTENTS I. Introduction .................................................................................................................... 27 II. Fracture Classification..................................................................................................... 28 III. Soft Tissue Classification ................................................................................................. 28 IV. Temporary Fixation ........................................................................................................ 30 V. Fixation of The Tibial Articular Surface ......................................................................... 33 VI. Plate Fixation .................................................................................................................. 36 VII. External Fixation............................................................................................................. 37 VIII. Postoperative Care .......................................................................................................... 43 IX. Results ............................................................................................................................. 44 X. Complications.................................................................................................................. 45 XI. Conclusion....................................................................................................................... 46

Acknowledgment......................................................................................................................... 46 References ................................................................................................................................... 46

I. INTRODUCTION

Fractures of the distal tibial articular surface are some of the most challenging fractures to treat. They often involve soft tissue injury in an area that easily becomes compromised. The treatment of these complex injuries is fraught with potential complications and the surgeon should proceed with great caution as complications can often lead to infection, nonunion, and even amputation.