Fig. 1.

(A)Representative photograph demonstrating the custom pneumatic actuator apparatus used to create the porcine tibial plafond fracture. (B) Representative fluoroscopic image demonstrating tibial plafond fracture. (C) Representative gross tibial plafond fracture created with custom fracture apparatus with 3 ​× ​3 mm articular fragment removal. (D) Representative intra-operative lateral fluoroscopic image status post tibial plafond fracture creation and anatomic fixation with a 3.5 ​mm anterior plate with screws.