The surgical method of repairing
distal tibial fractures remains controversial.
It is often difficult to
achieve and retain good reduction by nailing
methods. Recently, minimally invasive
percutaneous medial plating has been
described in the literature. However,
this method is technically demanding, and
it is often difficult to achieve anatomic reduction
of the fracture site. Also, if fixation
of the fi bula is required, an additional
incision must be made on the lateral side
of the shin.