M.E.Müller: Atlas: Fracture 41-A2

Tibia/Fibula, Proximal,
extra-articular fracture,
metaphyseal simple
0,23% of the total
1,17% of the tibia
4,69% of the segment

58 fractures
47,2% group
69%M, 31%F

41 fractures
33,3% group
68%M, 32%F

24 fractures
19,5% group
54%M, 46%F

Oblique in the sagittal plane Oblique in the frontal plane Transverse

These are extra-articular fractures of the proximal tibial metaphysis with a fracture line oblique in the sagittal plane. Ref. Manual of Internal Fixation:
208 - 213. 568 - 577.
Surgeon. RO.

Their reduction is easy. They are fixed by an interfragmentary compression cancellous lag screw and neutralized with a plate, either a straight or a T or an L shaped buttress plate, properly contoured and usually placed on the medial cortex of the tibia. The lag screw is

preferably placed through the plate. If there is any bone loss of the cortex contralateral to the plate, even if it is minimal, it must be compensated with a small plate (double plate).

preoperative preoperative

+ 3 months + 3 months

+ 5 months + 5 months




						Tibia/Fibula, Proximal, extra-articular fracture, metaphyseal simple	0,23% of the total 1,17% of the tibia 4,69% of the segment






These are extra-articular fractures of the proximal tibial metaphysis with a fracture line oblique in the sagittal plane.		Ref. Manual of Internal Fixation: 208 - 213. 568 - 577. Surgeon. RO.

Their reduction is easy. They are fixed by an interfragmentary compression cancellous lag screw and neutralized with a plate, either a straight or a T or an L shaped buttress plate, properly contoured and usually placed on the medial cortex of the tibia. The lag screw is	preferably placed through the plate. If there is any bone loss of the cortex contralateral to the plate, even if it is minimal, it must be compensated with a small plate (double plate).