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Bridge Plating of Proximal Tibia Metaphyseal Fracture by Limited Open Technique

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Michael Gardner, Benjamin Pulley

We present application of a bridge plate by limited open technique for fixation of a proximal tibial metaphyseal fracture in an adult patient. While intramedullary nailing remains our preferred surgical technique for treatment of the majority of extraarticular fractures of the proximal tibia, we find bridge plating by limited open technique to be an important alternative option for select fracture patterns not amenable to intramedullary nailing. Our primary indications for this technique are discussed in the video.