Indications

  • Significant comminution
  • Displaced, unstable fractures
  • Open fractures with severe soft-tissue injury 
  • Loss of reduction after nonoperative treatment

Contraindications

  • Poor general condition of the patient (high anesthetic risk)
  • Low demand patient 
  • Peripheral vascular diseases

Advantages

  • Restoration of fibular length
  • Early functional recovery 
  • Good long-term functional results

Disadvantages

  • Risk of wound infection 
  • Risk of soft-tissue breakdown