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Tibia & Fibula Shaft Fractures

Descriptive Classification

Soft Tissue: Open vs Closed

Location: Proximal, Middle, Distal

Fragment number & position: Comminution, Butterfly fragments

Configuration: Transverse, Spiral, Oblique

Angulation: Varus/Valgus, Anterior/Posterior

Displacement: Percentage of cortical contact, Rtotation, Shortening

OTA

Gustilo & Anderson for open fractures

Tscherne for closed fractures

All with poor sensitivity, reproducibility and interobserver reliability

Mohammad Umar Khubaib

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