Indications

  • Good bone quality 
  • Tillaux-Chaput lesion
  • Open fractures with severe soft-tissue injury 
  • Loss of reduction after nonoperative treatment

Contraindications

  • Poor general condition of the patient (high anesthetic risk, poor limb vascularity) 
  • Severe osteoporosis 
  • Severely compromised local soft tissues
  • Low demand patient 
  • Peripheral vascular diseases

Advantages

  • Anatomical reduction of the joint 
  • Absolute stability 
  • Early weight bearing
  • Early functional recovery 
  • Good long-term functional results

Disadvantages

  • Skin irritation through bulky implant
  • Risk of wound infection 
  • Risk of soft-tissue breakdown