distal tibia fractures outcomes for a successful result
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Distal Tibia Fractures: Outcomes for a Successful Result: Beware as - PowerPoint PPT Presentation

Distal Tibia Fractures: Outcomes for a Successful Result: Beware as You Plan Your Strategy Joshua L. Gary, MD Disclosures Editorial Board: JBJS, JOT, BJR, JAAOS Smith and Nephew: Teaching/Consulting AO North America: Teaching SMV Inc.:


  1. Distal Tibia Fractures: Outcomes for a Successful Result: Beware as You Plan Your Strategy Joshua L. Gary, MD

  2. Disclosures Editorial Board: JBJS, JOT, BJR, JAAOS Smith and Nephew: Teaching/Consulting AO North America: Teaching SMV Inc.: Stockholder

  3. “We’ve got two for you….”

  4. Learning Objectives 1. Importance of external fixation 2. Axial CT for approach 3. Compression-side plating

  5. What is this mortise?

  6. Why Ex-Fix?

  7. Why Ex-Fix?

  8. Why Ex-Fix?

  9. Surgical Approach? Reduction: AL Compression Side: Lateral

  10. Definitive Fixation

  11. 9 months later…

  12. Varus Failure

  13. Varus Failure

  14. Surgical Approach? Reduction: AL Compression Side: Medial

  15. Anterolateral Approach

  16. Anterolateral Approach

  17. Percutaneous Medial Plate

  18. Final Films

  19. MIPPO of Anterolateral Plate?

  20. Take Home Points • Ex-fix: Length and/or angular instabilty • Axial CT  Articular reduction approach • Compression-side plating of tibia

  21. Thank You

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