Percutaneous Plating of Ankle Fractures

  • Mario Ronga
  • Chezhiyan Shanmugam
  • Francesco Oliva
  • Nicola Maffulli


The management of distal tibial fractures can be ­difficult, and requires careful preoperative planning. Fracture pattern, soft tissue injury, and bone quality critically influence the selection of fixation technique.1 Several surgical methods have been described for the management of these fractures, including external fixation, intramedullary nailing, and plate fixation. External fixation may result in inaccurate reduction, malunion or nonunion, and pin tract infection.2 Intramedullary nailing is considered the standard method to manage operatively diaphyseal fractures of the tibia, but the distal tibia poses concerns regarding the stability of fixation, the risk of secondary displacement of the fracture on insertion of the nail, breakage of nails and locking screws, and final alignment of the tibia.


Soft Tissue Injury Distal Tibia Ankle Fracture Axial Stiffness Torsional Rigidity 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Conflict of Interest Statement

Each author certifies that he or she has no commercial associations (e.g., consultancies, stock ownership, equity interest, patent/licensing arrangements, etc.) that might pose a conflict of interest in connection with the ­submitted work.


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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  • Mario Ronga
    • 1
  • Chezhiyan Shanmugam
    • 2
  • Francesco Oliva
    • 3
  • Nicola Maffulli
    • 4
  1. 1.Department of Orthopaedics and TraumatologyUniversity of InsubriaVareseItaly
  2. 2.Department of Trauma and OrthopaedicsUniversity Hospital of North Staffordshire NHS TrustStoke-on-TrentUK
  3. 3.Department of Trauma and Orthopaedic SurgeryUniversity of Rome “Tor Vergata”RomeItaly
  4. 4.Barts and The London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End HospitalQueen Mary University of LondonLondonUK

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