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


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


  • Anatomical reduction of the joint
  • Early functional recovery
  • Good long-term results


  • Skin irritation through bulky implant
  • Risk of wound infection 
  • Risk of soft-tissue breakdown
  • Distal positioning of the plate on the distal fragment limited by peroneal tendons 
  • Risk of injury to peroneal tendons