At our institution, locked plating osteosynthesis is used for the plurality of "very" distal tibia fractures, such as metaphyseal
fractures with or without intrarticular extension, such as Pilon fractures.
However, it should be noted that while locking periarticular plates with multiple fixed-angle screws ensures a good option for the management of periprosthetic supracondylar femur fractures, there is a relatively high-risk of persistent instability, likely because of the limited bone stock for adequate distal fixation and the existence of osteoporosis and comminution at the metaphyseal
It should be noted, however, that Ewing's is not limited to a diaphyseal location; in fact , it is often found in metaphyseal
or metadiaphyseal locations.
History: The presence of positive family history and short stature in other members of the family will suggest the presence of bone dysplasia, such as multiple epiphyseal dysplasia, multiple metaphyseal
dysplasia, multiple enchondromatosis (Ollier's disease), multiple hereditary exostosis, Ellis Van Creveld syndrome , or Morquio's disease .
But Sue and John - with the support of Max's breeder, chiropractor and vet - are adamant that the metaphyseal
osteopathy was not a pre-existing condition.
Kocher noted that metaphyseal
fractures typically result from rapid acceleration-deceleration or torsion-traction movements caused by shaking or twisting.
To evaluate clinical, functional and radiological outcome after hybrid fixator application for metaphyseal
fracture of tibia as a single definitive fixation.
Eleven of 512 consecutive patients had metaphyseal
distal ulna fractures in association with distal radius fractures and at least 1-year follow-up.
area below the head was then prepared using a tool specifically designed to break down the intramedullary cancellous bone without disrupting the subcortical bone.
 Standard straight plates result in optimal diaphyseal stabilization but may be inadequate for fixing metaphyseal
and epiphyseal fractures.
There were only 3 cases of humeral diaphyseal osteomyelitis; otherwise all other cases were involving joints or metaphyseal
region of bone near joint, the so called osteoarticular involvement-typical of tuberculosis.
This has been very successful and indications have been extended to include the proximal and distal metaphyseal