Authors of section


Cassio Ferrigno

Executive Editor

Amy Kapatkin

General Editor

Noel Moens

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42-C3 Complex fracture with nonreconstructible wedges

42-C3 fractures

42-C3 are complex fractures with non-reconstructible wedges and no direct contact between the main two fragments. They often have a high degree of comminution.

42-C3 fractures are high-energy fractures often caused by a vehicular trauma, fall from height or gunshot.

Because of the comminution and the nature of the trauma, severe damage to the soft tissues is expected.

In these fractures, it is generally not possible and not recommended to attempt rebuilding the bony column. Therefore, indirect reduction techniques and preservation of the soft tissues are considered mandatory.


2-year-old American Shorthair cat, fell from a 3-4 floor balcony.
Radiographs of the left leg show a 42-C3 fracture.



42-C fractures are generally caused by high energy trauma, often road traffic accidents or gunshot wounds.

Clinical signs

  • Swelling of the region
  • Abnormal movement in the tibia shaft
  • Pain
  • Non weight bearing on the limb
  • Soft tissue damage


Craniocaudal and lateral radiographic views are needed.