42t-D/4.2 + 5.2   Multifragmentary tibial fracture

Segmental tibial shaft fractures can be transverse (42t-D/4.2), oblique, wedge, or comminuted (42t-D/5.2).

They may occur in the proximal, middle, or distal third of the tibial shaft.

Isolated tibial fractures are axially unstable. They are associated with varus deformity due to muscle pull and buttressing effect of the intact fibula and require close surveillance in the weeks following injury.

There is often a fibular fracture, which is classified separately and decreases the overall stability.

Wedge fracture of the tibial shaft with a simple transverse fracture of the fibula at the same level

Wedge fracture of the tibial shaft with a simple oblique fracture of the fibula at the same level

Multifragmentary fracture of the tibial shaft