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FIGURE 54.25
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A, Patient with medially open extraarticular distal tibia and fibular fractures. B and C, At time of uniplanar external fixation application, coronal plane stability was difficult to control and resulted in continued soft-tissue endangerment from displaced underlying tibial metaphyseal spike. Anatomic reduction of tibia and interfragmentary lag screw fixation as temporizing measure to provide stability as adjunct to external fixator.

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