Executive Editor: Peter Trafton

Authors: Raymond White, Matthew Camuso

Tibial shaft Wedge fracture, fragmentary wedge

General considerations

42-B3

These fractures are higher energy injuries, with greater likelihood of displacement, more difficulty maintaining aligment with nonoperative treatment and slower healing.
Because of their significant tendency for secondary displacement in a cast, they are usually considered for operative treatment if it is available. Closed intramedullary nailing is the usual first choice, except for very proximal fractures and other special indications.

Bridge plating is applicable to all multifragmented long-bone fractures where intramedullary nailing or conventional plate fixation is not suitable.

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v2.0 2012-05-13