Fig. 3A–G.

A 54-year-old man sustained an open displaced distal tibia fracture (Orthopaedic Trauma Association 43-C1) in a motor vehicle accident. Preoperative (A) anteroposterior and (B) lateral radiographs and (C) computed tomography scan show a relatively small fracture fragment of the distal tibia and a coronal plane fracture line in the metaphyseal part. (D) Anteroposterior and (E) lateral radiographs show the tibia after the fracture was reduced indirectly and fixed with a polyaxial locking plate using a minimally invasive plate osteosynthesis technique. (F) Anteroposterior and (G) lateral radiographs taken 8 months after surgery show a well-healed distal tibia and fibula. A conventional screw was removed for medial skin irritation.