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  • distal tibial fracture x
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Karl Stoffel Department of Orthopaedics and Traumatology, University Hospital Basel, Basel, Switzerland

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Christoph Sommer Department of Surgery, Kantonsspital Graubuenden, Chur, Switzerland

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Mark Lee Department of Orthopaedic Surgery, UC Davis Medical Center, Sacramento, California, USA

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Tracy Y Zhu AO Innovation Translation Center, AO Foundation, Davos, Switzerland

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Karsten Schwieger AO Innovation Translation Center, AO Foundation, Davos, Switzerland

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Christopher Finkemeier Sutter Roseville Medical Center, Roseville, California, USA

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Iliac spongious autograft ( n   = 13) and additional cortical,spongious iliac wing autograft ( n   = 5)  Imam et al. (29) Prospective 16 C3 fractures 11.5 (6–24) Extended anterior approach Proximal tibial plate ( n   = 10), distal

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Josep Muñoz Vives Hospital Nostra Senyora de Meritxell, Andorra, Spain

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Jean-Christophe Bel Hospices Civils de Lyon, Lyon, France

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Arantxa Capel Agundez Hospital Universitario 12 de Octubre, Madrid, Spain

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Francisco Chana Rodríguez Hospital General Universitario Gregorio Marañón, Madrid, Spain

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José Palomo Traver Hospital General de Castelló, Castelló de la Plana, Spain

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Morten Schultz-Larsen Odense Universitetshospita, Odense, Denmark

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Theodoros Tosounidis Leeds General Infirmary, Leeds, UK

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tibial shaft fracture and type II c) (9%) is a fracture of the tibia plateau and articular fracture of the distal femur. 2 Fig. 1 Fraser classification of the floating knee. Initial management The floating knee is much more than a

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Maria Tennyson Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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Matija Krkovic Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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Mary Fortune The Department of Public Health & Primary Care, Strangeways Research Laboratory, Cambridge, UK

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Ali Abdulkarim Department of Trauma & Orthopaedic Surgery, Cambridge University Hospital, Cambridge, UK

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India Case series (prospective) 20 No 37.75 Displaced distal tibial metaphyseal fractures (acute fractures and delayed union). Both open and closed fractures were included in the study. Tibial diaphyseal and proximal tibial metaphyseal

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Matías Sepúlveda Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile
AO Foundation, PAEG Expert Group, Davos, Switzerland

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Cecilia Téllez Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Víctor Villablanca Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Estefanía Birrer Universidad Austral de Chile, Valdivia, Chile
Hospital Base de Valdivia, Valdivia, Chile

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Introduction Distal femur fractures have a variable frequency of approximately 27% of all femur fractures ( 1 ), increasing due to a rise incidence of high-energy trauma. This acquires greater relevance when we understand that the main

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Jan Bartoníček Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice, Prague, Czech Republic

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Stefan Rammelt University Center for Orthopaedics, Trauma and Plastic Surgery, University Hospital Carl Gustav Carus at TU Dresden, Fetscherstrasse, Dresden, Germany

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Michal Tuček Department of Orthopaedics, First Faculty of Medicine, Charles University and Military University Hospital Prague, U Vojenské Nemocnice, Prague, Czech Republic

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structures remain intact ( 62 ). Fractures of the posterior malleolus and partial tibial pilon fractures An associated fracture of the posterior distal tibial rim was already mentioned by Bosworth ( 1 ), and later dealt with in detail by several other

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Nicolás Franulic Hospital del Trabajador ACHS, Santiago, Chile
Hospital Militar de Santiago, Santiago, Chile

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José Tomas Muñoz Universidad de los Andes, Santiago, Chile

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Francisco Figueroa Hospital Sótero del Río, Santiago, Chile
Clínica Alemana - Universidad del Desarrollo, Santiago, Chile

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Piero Innocenti Hospital del Trabajador ACHS, Santiago, Chile

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Nicolás Gaggero Hospital del Trabajador ACHS, Santiago, Chile

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the proximal tibiofibular joint. Right: Type II fractures extend distal to the proximal tibiofibular joint and Type III fractures extends into the lateral tibial plateau.. A recent biomechanical study conducted by Kang et al. ( 28

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Thomas Tampere Department of Orthopaedic Surgery, Ghent University Hospital, Ghent, Belgium

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Matthieu Ollivier Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Christophe Jacquet Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Maxime Fabre-Aubrespy Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France

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Sébastien Parratte Institute for Locomotion, Aix-Marseille University, St. Marguerite Hospital, Marseille, France
Department of Orthopaedic Surgery, International Knee and Joint Centre, Abu Dhabi, UAE

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the first choice in the treatment of complex tibial plateau or distal femoral fractures in elderly osteoporotic patients where articular and metaphyseal destruction makes reconstruction and internal fixation hazardous (Femur: AO/33C3 and selected 33C2

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Ippokratis Pountos Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, UK

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Peter V. Giannoudis Academic Department of Trauma & Orthopaedics, School of Medicine, University of Leeds, and NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, LS7 4SA Leeds, West Yorkshire, Leeds, UK

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and occur when the dense talus is axially compressed over the articular surface of the distal tibia. They represent 1% of all lower limb fractures and 5% to 10% of all tibial fractures. 57 The severity of this injury is substantial, reflecting the

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Abdel Rahim Elniel Leeds Teaching Hospitals Trust, UK

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Peter V. Giannoudis Academic Department of Trauma and Orthopaedics, Leeds Teaching Hospitals, University of Leeds, UK; NIHR Leeds Biomedical Research Unit, Chapel Allerton Hospital, UK

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distal tibial fractures present with a significant soft-tissue injury and therefore pose additional complexity when managing the injury. Classification Open tibial injuries present with a spectrum of injury severity ( Fig. 1 ). It soon became

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Michael J Raschke Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Sabine Ochman Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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Alexander Milstrey Department of Trauma-, Hand- and Reconstructive Surgery, University Hospital Muenster, Muenster, Germany

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malleolus (PM). Because of a consecutive instability of the ankle joint, reduction and fixation of the PM is recommended in order to restore the stability of the mortise for PM fractures involving the tibial incisura ( 24 , 25 ). A historical – size based

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