43t-M/3.2   Multifragmentary complete fracture of the distal tibial metaphysis

Multifragmentary complete metaphyseal fractures of the distal tibia are classified as 43t-M/3.2.

These fractures are often displaced and unstable.

An associated fibular fracture may have a different configuration and is classified separately.

Isolated tibial fractures often result from high-energy trauma.

Soft-tissue injuries are common and should be anticipated. Compartment syndrome and vascular injuries may also complicate these fractures.

Always consider nonaccidental injury in nonwalking children with a tibial fracture.

X-rays showing a multifragmentary metaphyseal tibial fracture in a 4-year-old patient