There is complete lateral translocation of the distal fragments. Soft tissue laceration can be seen medially, below the fractures, and laterally, at the fracture site.
Lateral radiograph shows no angulation or displacement in the sagittal plane.
Following closed reduction of the fractures, a second frontal radiograph demonstrates stabilization using an external fixation device. This device utilizes horizontal pins placed percutaneously through the tibial shaft on either side of the fracture. Note the transverse pins in the tibia, compressing the proximal portion of the external fixator. A below knee angiogram shows a large, well-filled anterior tibial artery. Surgical clips over the fibula indicate repair of the peroneal artery.