Proximal Tibial Shaft Fractures

Proximal tibial shaft fractures have vector forces which in combination displace the epiphyseal fragment anteriorly and medially. Surgical treatment is indicated in cases of displaced fractures, associated soft tissues compromise, and compartment syndrome. The goals of the surgical treatment are the restoration of the alignment, rotation, and length of the tibia allowing for early motion of the lower extremity. This chapter explores the authors’ preferred reduction and fixation techniques in the management of proximal tibial fractures.