Distal Tibia Fractures: Outcomes for a Successful Result: Beware as - PowerPoint PPT Presentation

Jan 27, 2023 •199 likes •410 views

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.:

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.: Stockholder
“We’ve got two for you….”
Learning Objectives 1. Importance of external fixation 2. Axial CT for approach 3. Compression-side plating
What is this mortise?
Why Ex-Fix?
Why Ex-Fix?
Why Ex-Fix?
Surgical Approach? Reduction: AL Compression Side: Lateral
Definitive Fixation
9 months later…
Varus Failure
Varus Failure
Surgical Approach? Reduction: AL Compression Side: Medial
Anterolateral Approach
Anterolateral Approach
Percutaneous Medial Plate
Final Films
MIPPO of Anterolateral Plate?
Take Home Points • Ex-fix: Length and/or angular instabilty • Axial CT  Articular reduction approach • Compression-side plating of tibia
Thank You

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