| Summary: | Fractures of a meta-diaphyseal region of the tibia are still challenging in terms of safe, fast, minimal
invasive, low - risk surgical treatment. The unstable meta diaphyseal tibial fractures affect proximal and
distal one-third of the tibia and result from high-energy trauma, usually combined with severe soft tissue
injury. Treatment strategies include mostly operative approaches with various contemporary surgical
instrumentations and modern techniques for definitive fracture repair, achieving primary or secondary bone
union and better quality of life for patients. In the last decade, new techniques for definitive external plate
fixation have been introduced as a part of contemporary trauma armamentarium with good and excellent
outcomes.
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