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Principles

Bridging

Bridge plating uses the plate as an extramedullary splint, fixed to the two main fragments, while the fracture zone is left virtually untouched.

Reduction of the distal tibiofibular joint is important Therefore, restoration of the length, axis and rotation of the fibula is crucial. and must be checked intraoperatively under image intensification.

Reduction can usually be achieved indirectly by distraction. Anatomical reduction in the fibular fracture zone is not necessary.