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Definition

Metaphysical

Extra-articular

Treatment options

IMN

Plate

Results

Jindal et al. Indian J Orthop 2020

- systematic review

- no different in malunion

- infection more common in plate

Distal Tibial Fractures

Definition

Metaphyseal

Extra-articular

Intra-articular Extension

Operative v Nonoperative Literature

1.  Buckley etal JBJS Am 2002

Prospective multi-centred RCT

- 309 displaced intra-articular fractures

- operative v non operative management

- 2 year follow up

Findings

- used patient orientated functional outcomes

- overall VAS and SF36 not significantly different between 2 groups

Improved Operative Outcome if

- not workers compensation

- women

- < 29

Epidemiology

Most common long bone fracture

Aetiology

Young patients / sports

Elderly / simple falls

MVA - often compound

Tscherne Soft Tissue Classification

Grade 0

- nil ST injury

Grade 1