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Wheeless' Textbook of Orthopaedics
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Role of Fibula in Tibial Plateau fractures




- Discussion:
    - condition of fibula, whether frxed or intact, determines angulatory
          behavior of these frx under wt bearing and functional conditions;
    - isolated frx of lateral plateau w/ intact fibula do not tend to collapse
          further because of the support of the fibula;
    - in contrast, frxs of both lateral plateau and fibula have tendency to collapse
          into valgus because of the loss of support of the fibula;
    - fractures of both condyles do not collapse or angulate when proximal
          fibula is fractured and displaced;
    - however, if fibula is intact, the medial plateau usually collapses
          creating a varus deformity;





Original Text by Clifford R. Wheeless, III, MD.