- Discussion:
- severe articular comminution and articular impaction frx;
-
reduce fibula then perform plate & lag screw fixation;
- restores length of fractured distal tibia:
-
reduce articular surface
- carried out & maintained by temporarily stabilizing it with K wires;
- because of impaction of joint surface upward into metaphyseal cancellous bone, reconstruction
of the joint surface is assoc w/ producing a metaphyseal defect in the transitional bone
between joint & shaft;
- this must be filled in with a cancellous bone graft;
-
buttress plate:
- addresses comminution in medial metaphyseal cortical bone,
- function of this plate is to provide support to this weakened area and prevents varus deformity;
