Tibia And Fibula Fractures

Front 1

Back 1

A: diaphyseal simple
1: spiral
2: oblique
3: transverse
(further:
1: fibula intact
2: fibula fracture at different level
3: fibular fracture at same level)

Front 2

Back 2

B: diaphyseal wedge
1: spiral wedge
2: bending wedge
3: wedge fragmented
(further:
1: fibula intact
2: fibula fracture at different level
3: fibular fracture at same level)

Front 3

Back 3

C: diaphyseal complex
1: spiral comminuted wedge
2: segmental
3: comminuted

Front 4

Back 4

C0: simple fracture with little to no soft tissue injury
C1: superficial abrasion, mild-moderately severe fracture
C2: deep contamination with local skin or muscle contusion, moderately severe fracture
C3: extensive contusion or crushing of skin or muscle, severe fracture

Front 5

acceptable reduction parameters

Back 5

<5 deg v/v (varus less accepted)
<5-10 deg sagittal
ideally 0 rotation but <10-20 deg (ER more tolerated
<10-12mm shortened
>50% cortical contact

Front 6

Gustilo classification

Back 6

I: clean, <1 cm lac
II: >1 cm lac without extensive soft tissue damage
III: >5 cm lac with extensive soft tissue damage (open seg fx, traumatic amp, GSW, farmyard, vascular injury, >8hr old fx)
IIIA: adequate periosteal cover
IIIB: signficant periosteal stripping
IIIC: vascular repair required