Authors of section

Authors

Daniel Green, Philip Henman, Mamoun Kremli

Executive Editor

James Hunter

General Editor

Fergal Monsell

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

Definition

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.

Complete multifragmentary fracture of the pediatric metaphyseal distal tibia

Further characteristics

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-ray

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

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