[Ortho] crush distal tibia

[Jeff Brooks]

My strong preference would be IM nailing in this case, with plate fixation of the fibula with syndesmosis screw as well --if lateral soft tissues allow, and perc the medial mall.

CT scan showing articular injury will be helpful.

I have never understood when folks refer to external fixation in severe soft tissue trauma (IIIc tibias...) "to allow access to the wound"... I can't think of a better way than IMN to "allow access to the wound".

Jeff