Fractures of the distal metaphysis can be transverse, oblique or comminuted.
Comminuted fractures are often unstable.
Irreducible and unstable fractures require ORIF.
Other indications for ORIF are open fractures, or soft-tissue lacerations.
|Minicondylar compression plate fixation|
|Rotational or axial deformity, open fractures, associated soft tissue injury|
- Gross contamination
- Lack of adequate bone stock
|Basic surgical experience, no specialized skills|
|Some specialized surgical experience|
|Highly experienced and skilled surgeon|
|Basic equipment only|
|Simple surgical and imaging resources|
|Full specialized surgical and imaging resources|