A 24 year old male had a RTA and sustained a Femur fracture with a Comminuted Tibia Fracture and Compound Foot injury.
Tibia Fracture was Comminuted in the Mid shaft for about 2/3 rd of the tibial length. There was segmental fracture of the fibula
Pre Op Xray :
Considering the Comminution MIO/MIPPO plating was planned.
The length of the Plate could have been a problem and hence X rays were taken with the longest plate available.
OPERATIVE PEARLS :
- MIO Plating was performed spanning the Comminuted Shaft fragment.
Segmental Fibula fracture was fixed with One proximal and one distal Rush nail.