Author summary
After a previous series [1] established good results for the reconstruction of normal
anatomy with stable fixation for intraarticular fractures of the lower end of the
tibia by one surgeon in a more rural setting, the authors examined a series of patients
treated at a university hospital by residents. Results were positive, with good or
excellent outcomes in 70% of patients, but not as good as the previous series. Several
factors may be taken into account for this disparity in results: patients were older
by a mean 10 years, injuries were due to road or working accidents rather than principally
skiing injuries, and the quality of surgery / capability of the surgeon may be a factor
as well. However, by following the four sequential principles listed below, results
of these difficult fractures can still be rewarding.
