الفهرس 
Relevant Anatomy
Classifications of distal tibial fractures:Only 14 pages are availabe for public view
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Abstract
Fractures of the distal tibia are one of the most challenging injuries in orthopedic.Several methods have been described for the treatment of these fractures,including casting,external fixation,intramedullary nail and plate
fixation. The choice of technique will depend on multiple factors including fracture configuration,proximity to the plafond,bone quality,soft-tissue
injury and available equipment.Non-operative management may be appropriate in some patients,particularly those with contraindications to anaesthesia. External fixation offers benefits in terms of soft-tissue management and in the management of severely comminuted fractures, but questions remain over the risks of infection and non-union. Intramedullary nailing may be effective in managing these fractures even with simple articular extension, but care needs to be taken with reduction and adequate distal locking to prevent
malalignment and chronic knee pain may also be an issue. Anatomically contoured plates reduces the prominence of the plate, helps restore the normal anatomy and reduces varus/valgus or rotational deformity. The Locked anterolateral distal tibial L- plate used in this study was designed according to the anatomical features of the anterolateral surface of
the distal tibia of healthy adults thus allows placement of the plate without
disruption of the fracture fragments. In this study 20 patients with closed distal tibial fractures treated in the
period between April 2015 and December 2015 at Tanta University Hospital with anterolateral distal tibial L-plate.