Distal tibial metaphyseal fractures are those that extend within approximately 4 cm of the tibial plafond.1TheOrthopedic TraumaAssociation’s (OTA) fracture classification, similar to Muller’s definition, defines these fractures as those contained within a square with a side length equal to the wides...
Imparting a slight curve on the tip of wire may help to pass it through the fracture site. Distally the guidewire tip should terminate 2 mm lateral to the centre plafond in the AP view and at the level of the physeal scar.1,10,12 Reaming can then be undertaken over the guidewire to...