Distal tibia fractures are primarily located within a square based on the width of the distal tibia.
Many fractures of the distal tibia have severe associated soft-tissue compromise.
Assess the soft-tissue condition, sensation and motor function in the foot. Watch for signs of a compartment syndrome, which may develop some time after injury.
Grossly displaced / dislocated fractures
must be reduced immediately and temporarily stabilized, preferably by a joint-bridging external fixator.