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Tibia

Session: Breakout Session

Distal Tibia Fractures: Optimizing Stability and Minimizing Complications

Friday, October 20, 2023
4:30 PM – 5:30 PM PST
Location: 6C

    Moderator(s)

  • Marschall Berkes, MD

    St Louis, Missouri, United States

    Disclosure(s): arthrex: Consultant (Ongoing); mediflix: Consultant (Ongoing); smith and nephew: Consultant (Ongoing)

    • Faculty(s)

  • ML

    Milton TM Little, MD (he/him/his)

    Assistant Professor
    Cedars-Sinai Medical Center
    Cedars Sinai Medical Center
    Los Angeles, California, United States

    Disclosure(s): Deputy Synthes: Consultant (Ongoing); Globus Medical: Consultant (Ongoing); Restor3D: Consultant (Ongoing), Stock Shareholder (excluding mutual funds) (Ongoing)

  • DF

    David Forsh, MD

    Icahn School of Medicine at Mount Sinai
    New York, New York, United States

    Disclosure(s): Stryker Orthopaedics: Consultant (Ongoing)

  • Clay A. Spitler, MD

    Associate Professor
    The University of Alabama-Birmingham
    Birmingham, Alabama, United States

    Disclosure(s): AO North America: Speakers Bureau (Ongoing); Delfi Medical: Grant or Research Support, or I am listed as the PI (Ongoing); Depuy Synthes: Consultant (Ongoing), Grant or Research Support, or I am listed as the PI (Ongoing); Invibio: Consultant (Ongoing)

Fractures of the distal tibia, whether extra-articular or with articular involvement present opportunities for choice in surgical or nonsurgical management. This breakout session, through strict case based discussion, will review injury patterns that may be best served through intra-and extramedullary fixation and provide guidance on choice of reduction strategy and implant application. Emphasis will be placed on “extreme nailing” with or without adjunct fixation with specific case examples to be used as a platform to highlight tips for successful application and avoidance of intra and postoperative complications. Finally, cases will be presented that will inform the audience of nonstandard surgical approaches and implant choice when the situation dictates for injuries to the distal tibia and fibula.

Learning Objectives:

At the completion of this activity, participants will be able to:
  • Highlight through case based discussion which distal tibia fracture patterns are more amenable to nail fixation or plate fixation (or both)
  • Provide tips and tricks for application of distal tibia “extreme nailing”
  • Understand when atypical surgical approaches or implants may be required for operative management of distal tibia fractures