• J Surg Case Rep · Jan 2013

    Case Reports

    PHILOS humerus plate for a distal tibial fracture.

    • Haider Twaij and Dev Damany.
    • Department of Trauma & Orthopaedics, Royal Wolverhampton Hospitals, Wolverhampton, UK haidertwaij@gmail.com.
    • J Surg Case Rep. 2013 Jan 4; 2013 (1).

    AbstractThis report discusses the use of an alternative implant in the emergency fixation of a distal tibial fracture. We planned to fix the shear-type medial malleolar fracture in a closed, tri-malleolar fracture with a locking distal tibial plate. Intra-operatively, it was noted that the required plate was unavailable. A PHILOS humeral plate seemed to fit the contours of the distal tibia. The broad end of the PHILOS, when placed distally, gave options to place locking screws in the medial malleolar fragment. The fracture was stable after fixation. The patient made a full post-operative recovery and follow-up at 4 months was satisfactory. Despite adequate planning, there will be instances where one has to improvise. An understanding of the principles of fracture management can aid in finding solutions. PHILOS humeral plate may be used to stabilize a distal tibial fracture if an appropriate distal tibial locking plate is not available. Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013.

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