The Lower Extremity Assessment Project (LEAP), a. The Journal of Trauma: Injury, Infection, and Critical Care, 2011, 70 (1):E13-E18. W dzielnicy cudzoziemców znajduję się obóz elfów. TibiaTibial hemimelia (TH), a longitudinal congenital bone deficiency, is a rare anomaly with an estimated occurrence of one case per million live births. The tibia (shin bone) is a long bone of the leg, found medial to the fibula. tibial shaft is triangular in cross-section. In humans the tibia forms the lower half of the knee joint above and the inner protuberance of the ankle below. Introduction. It’s the smaller of the two bones in your lower leg. The proximal tibia is triangular in shape with a vast metaphyseal region narrowing distally. It is formed between the distal tibia (concave surface) and fibula (convex surface), with no articular capsule or. Citation, DOI, disclosures and article data. Tibia shaft. pl. The tibia is one of two bones that make up the lower leg, the other being the fibula. Tibial hemimelia is a rare congenital lower limb deficiency presenting with a wide spectrum of associated congenital anomalies, deficiencies and duplications. 1–5 However, there have been significant complications reported with the use of flexible nails in pediatric tibia fractures, including compartment syndrome, 6,7 malunion,. Thus, they were historically associated with high rates of amputation. Została utworzona przez inkwizycję w celu zniwelowania demonicznego wpływu na ziemię. Tibia maps installer. 6 . ago. Cult Cave w Liberty Bay jest to jaskinia kultystów położona na północ od miasta. (The leg is actually only the segment between the knee and ankle, even though many people refer to the lower extremity as the leg. personal preferences. Secondary to the increased trauma, inappropriate application of implants, or prolonged hematogenous infection, it has become a less rare disease the orthopedists have to face. Its advantages are minimally invasive surgery with a short hospitalisation duration, primary bone union and early weight bearing. The healing index in the tibia is known to be longer than the femur. Tibia fractures are usually caused by a sudden injury such as a fall, collision while playing sports, automobile accident or cycling accident. It lies on the medial side of the leg, located parallel to the other bone of the leg named the fibula. Użytkowniku! Zwracaj uwagę na to, gdzie przekierowuje dany link zewnętrzny. Our law firm has handled all types of bone fracture. [] Tibial shaft fractures are the third most common long bone fracture type in children after fractures of radius-ulna and femur; and. TibiaThe mean tibial difference was found to be 4. The bone healing is the continuous process, determined by the plural exo- and endogenous factors. Nilastra. Settings. tibia (plural tibias or tibiae) ( anatomy) The inner and usually the larger of the two bones of the leg or hind limb below the knee, the shinbone. • The tibia is the pre-axial bone and homologous with the lateral bone of the forearm, the radius. It is a complex hinge joint composed of two articulations; the tibiofemoral joint and patellofemoral joint. The tibia is a larger bone on the inside, and the fibula is a smaller bone on the outside. La tibia es una estructura detallada en diferentes partes, estas. 24 We reported a femoral healing index of approximately 31. The tibia shaft is a long bone that articulates with the talus, fibula and the distal femur. 1–3 Bifid femur, split hand, split foot and duplication/absence of formed elements of foot are associated. 033 (age) 2, (SD 1. The ratio of cyst volume to tibial volume ranged from 0 to 14. Terminal branches. ( entomology) The second segment from the end of an insect 's leg, between the femur and tarsus. The tibiofibular joints are the joints of the tibia and fibula which provides very little movement. Tibia Fracture Rehabilitation Program. Non-weight bearing and walking with crutches. After the experiment the animals wereThe treatment of fractures of the distal part of the lower leg (particularly with involvement of the distal tibia articular surface) is challenging for orthopaedic surgeons and often leads to serious complications such as infection, malunion, nonunion and post-traumatic arthritis. Jak zrobić dostęp na Feyrist? Aby dostać się na Feyrist, trzeba wykonać misję Troubled Animals w Threatened Dreams Quest. flex knee over radiolucent triangle and mark out inferior pole of patella, borders of patellar tendon, joint line, tibial tubercle. A variety of factors can lead to shin splints, including overtraining, poor footwear, muscular imbalances at the ankle, overtight or weak triceps surae muscles. 23 ± 1. Treatment is usually closed reduction and casting in extension with a varus mold. 3. The distal tibia (medial malleolus, posterior malleolus, and tibial plafond) and distal fibula (lateral malleolus) form a recess termed the mortis, which articulates with the body of the talus termed the talar dome. Much more places have opened up for RP and hero cave is one of the best for 150+If you are a fan of Tibia, a massively multiplayer online role-playing game, you might want to check out this video by Zarakso, a popular Tibia streamer and youtuber. It is a thickening in the fascia lata. They are optional bosses, as players don't need to defeat them in order to advance in Elden Ring. szkody niecnych ludzi. It is medial to and much stronger than the. The Persona OsseoTi Keel Tibia is also complemented with a new cemented implant option to enable seamless versatility for the surgeon during the. Abstract. The tibial nerve is particularly susceptible to. możesz ukończyć zadanie z Minotaurami na dowolnym poziomie, po. Lying superficially in the leg, this muscle is easily palpable lateral to the anterior border of tibia. Basic Void. 02. Możesz naprawić to własnoręcznie! Wystarczy, że się zarejestrujesz i rozpoczniesz edycji. Factors involved in classifying a tibial fracture as unstable include the severity of the soft-tissue injury, the scope of articular extension, the presence of a complete initial displacement, and comminution that. 3. Tibia is a two-dimensional tile-based game set in a fantasy world with pixel art. Open Fractures of the Tibial Diaphysis is a lecture from the Orthopaedic Trauma Association's Core Curriculum, covering the classification, management and complications of this challenging injury. It expands at its proximal and distal ends; articulating at the knee and ankle joints respectively. Your tibial nerve sends messages to toes big and small and makes them move. Proximal tibial osteotomies are indicated for varus malalignment of the lower extremity and unicompartment medial arthrosis of the knee in young and active patients. noun. Tibiopedia has lots of tools, like an Outfiter, a Lottery System or a House Decorator. The signs and symptoms of this condition typically appear after age 35. In valgus deformities the required resection depth averaged 5. When performing a TTA the insertion of the quadriceps muscle is moved cranially by performing an osteotomy of the tibial tuberosity in the frontal plane, and moving it cranially until the patella tendon angle. [ 13] Isolated midshaft and proximal fibula. 76 ± 2. The purpose of this study was to assess the use of ESIN in displaced tibial fractures in children over 6 years. Nas interesują potwory na których można zarobić. Objectives. Click the answer to find similar crossword clues . Establishing an appropriate starting point is a crucial part of the surgical procedure. Paladyni są profesją obdarzoną zdolnościami bojowymi. A tibial shaft fracture occurs along the length of the bone, below the knee and above the ankle. The tibia is much thicker than the fibula. 50%. 3% in the lateral compartments. Posterior surface. Tibia is a massive multiplayer online role-playing game (MMORPG) launched on January 7th, 1997, created by the German company CipSoft GmbH, which can be downloaded here. It is the main weight-bearing bone of the two. The tibia is located medially to the fibula and is much larger. Anatomy is a road map. 02. The game is free to play but players may pay to upgrade to a premium account. Poradnik zarabiania - Laguna Islands. The fibula is a long bone in the lower extremity that is positioned on the lateral side of the tibia. The legends say it has been given this name after a few explorers who were responsible for the colonisation of Edron have gone missing and when they were finally spotted they turned their backs to the. The lower leg is made up of two components – the tibia and the fibula. Tibia shaft. Figure 25-2 Radiograph demonstrating correct proximal position of nails. Zyska ona wtedy specjalne właściwości na 20 minut. Despite its age, Tibia remains incredibly popular, with over 15,000 users online during peak hours. 739 age – 0. It is connected to the fibula by the. Forgotten Knowledge Quest:porozmawiamy sobie o imbuingu, o tym czym jest, jak działa oraz kiedy warto go stosować ;)0:001:00 Czym jest Imbuing1:40 Jak odblokować Imbuing5:00. B Reconstruction with resection of fracture/pseudoarthrosis, proximal tibia osteotomy, iliac crest bone and periosteal grafting, intramedullary and plate fixation. Również Ty możesz dodać lub aktualizować każdą z nich. A below-knee amputation (BKA), or below-the-knee amputation, is a transtibial amputation that involves removing the foot, ankle joint, distal tibia, fibula, and corresponding soft tissue structures. BIOMECHANICS. After all parameters were calculated per unit of final BW at 6 wk, tibia density and bone ash percentage. They extend the leg at the knee joint. TibiaIn 1979, Rüedi and Allgöwer proposed four sequential principles for the management of fractures of the tibial plafond. Medial tibial stress syndrome (MTSS), usually referred to as "shin splints," is a common overuse injury of the lower extremities affecting a large percentage of athletes. Each type of bowing tends to have a classic etiology. . Both bones extend between the knee and the ankle joints. Because it’s not as strong as other bones in your leg like your femur (thigh bone) or tibia (shin bone), it. The following is an example of a tibia fracture rehab program and is a guide only. Damage to the tibial nutrient artery canal (TNAC) may occur by a traversing fracture or iatrogenic cause in the context of pin/screw placement. Description: The tibia (plural tibiae or tibias), also known as the shinbone or shankbone, is the larger, stronger, and anterior (frontal) of the two bones in the leg below the knee in vertebrates (the other being the fibula, behind and to the outside of the tibia), and it connects the knee with the ankle bones. Gdy go wykonamy otrzymamy osiągnięcie Matchmaker i możemy za pomocą żółwi przemieszczać się pomiędzy wyspami. A Randomized Controlled Trial. This part of the body is called—in medical terms—the leg. The tibia is the second largest bone in the body and it is a key weight-bearing structure. Posterior tibial mobilization is commonly used to gain flexion of tibia on femur, as it promotes the appropriate arthrokinematic tibial translation occurring when the knee is actively flexed in the open kinematic chain. [ 2]which were applied through a defect in the tibia with diameter of 2. Once you enter the room, the Astral Glyph starts to gather energy that will expel you from the room. In the present study involving fetuses aged 17–30 weeks, the length of tibial shaft ossification increased. In the Tibia Online Update, you can buy Tibia Weapons and Equipment with Tibia Gold almost immediately. Description: An automated Tibia maps installer/updater for Tibia on Windows. 19 Our median tibial healing index of 38. He shows you how to hunt. 11. The tibia is a large weight-bearing bone, located on the anterior and medial side of the leg. 90 % Type I collagen. Here, you can change settings for interacting with TibiaWiki features. The musculature about the lower leg divides into four compartments separated by fascial tissue. This group of muscles has a common function. It is a complex hinge joint composed of two articulations; the tibiofemoral joint and patellofemoral joint. Aby móc handlować z Rashidem, trzeba najpierw zdobyć jego zaufanie. The hip joint (see the image below) is a ball-and-socket synovial joint: the ball is the femoral head, and the socket is the acetabulum. 3%) were found to exhibit a difference of 6. These two bones connect with the talus by forming a sort of dish which the talus fits into. Exits sciatic notch. Imbuements can be applied to any item with imbuement slots, but each imbuement is only available for a particular set of items or item types. Quest. • 6 yr. The Inquisition has set up camp here, with a mission to clean the land of demonic influence. The tibia is located on the medial side of the leg between the knee and ankle; that is, the inner side of the leg or the side near the middle. There is no universal definition of nonunion. c The photographs of the posterior surface of 20 pairs of the left, dried tibiae and fibulae were superposed on the schematic. These involve a force placed on the foot that extends through the ankle joint and onto the area of the distal tibia and fibula. Tibial eminence fractures occur with trauma to the distal femur while the knee is flexed, such as when falling off of a bicycle. A tibial plateau fracture is a break at the top of the tibia bone in the shin, which is often due to high energy trauma. Contact an administrator if you want to suggest changes to the page. Elastic stable intramedullary nailing (ESIN) is commonly used for other diaphyseal fracture locations. Location of the nutrient foramina in the tibia and fibula. [1] The incidence of semimembranosus tendinopathy is unknown in the athletic population and is probably more common in older patients. Poradnik zarabiania - Cult Cave w Liberty Bay. On this page, you can install our Tibia maps straight to your minimap folder, without leaving your browser! No need to manually download anything or to run any executables. In many tibia fractures, the smaller bone in the lower leg (fibula) is broken as well. Skeletal development in children is rapid with strong plasticity. : the inner and usually larger of the two bones of the leg between the knee and ankle that articulates above with the. The subcutaneous position of the tibia results in a greater. It is considered to be the second largest bone in the body and it plays an important role in weight bearing. Learn more. Przenoszenie. The tibia is located in the front portion of the lower leg or what is more commonly known as the shin. runs under arch of soleus. Much more active that I would have ever imagined. The upper part consists of two fairly flat-topped prominences, or condyles, that articulate with the condyles of the thighbone, or femur,. The tibia is the large shin bone located between the knee and the ankle. pain. These principles include (1) restoration of fibular length, (2) anatomic reduction of the articular surface, (3) filling the residual bone defect with cancellous autograft, and (4) stabilization of the medial column [ 19 ]. Roshamuul Prison. For many cyst volume parameters, the standard deviation was similar to or greater than mean volume, indicating a large distribution in cyst volume within this. Popliteal Aneurysm. Paladin. Nasycić można dowolny przedmiot ze slotami do imbuingu, ale niektóre nasycenia są przeznaczone tylko dla określonych przedmiotów. Specialties: Enjoy harbour views + "Happy Hour" on our heated patio. The goals of surgical treatment are to achieve osseous union and to restore length, alignment, and rotation of the fractured tibia. 4 meses – 1 año. Both condyles articulate together with the condyle of the femur. Tibia Wiki nie wymaga pobierania CZEGOKOLWIEK, jeśli widzisz komunikat zalecający coś ściągać - to na pewno dzieło wandala. A tíbia (osso da canela) é um osso longo da perna encontrado medialmente à fíbula. Ela participa da sustentação do peso da perna e é o segundo maior osso do corpo, atrás do fêmur. The tibiofemoral joint is an articulation between the tibia and the femur, while the patellofemoral joint is an. raises crit hit damage by 15% and crit hit chance by 10%. It controls movement in the following muscles: These muscles rotate your leg inward and flex your knees, ankles, and toes. The popliteal fascia (the roof of the popliteal fossa) is tough and non-extensible, and so an aneurysm of the popliteal artery has consequences for the other contents of the popliteal fossa. Introduction. Tibia is an open-ended 2D fantasy MMORPG originally released back in 1997. Despite the frequency of intramedullary nail (IMN) fixation for tibial fractures, little guidance exists on the management of these patients and no series have reported on outcomes of patients. durchschnittlich 3–10° beschrieben werden, die in der Regel einer Gaußschen Normalverteilung innerhalb einer gesunden Studienkohorte entsprechen [ 14, 18 ]. make incision from inferior pole of patella distally 2. Although tarsal tunnel syndrome and tibial neuropathy can be used synonymously, they represent separate entities. Idziemy zgodnie z mapą, i na piętrze statku, zza drzwi z czerwoną klamką wyciągamy grzebień. The fibula supports the tibia and helps stabilize the ankle and lower leg muscles. * Quenneville C, et al. Then, a plastic insert it attached to. Tibia Wiki nie wymaga pobierania CZEGOKOLWIEK, jeśli widzisz komunikat zalecający coś ściągać - to na pewno dzieło wandala. Mages: The best way to attack. Rozrywka, a zarazem wiele cennych informacji. 7-cm tibial defect in a 7-year-old boy. We are an Official Fansite of Tibia and we work hard to offer you quality content, we create interesting notes, quest guides, statistics and some tools that will make your time in Tibia more interesting. osób w gildii: 81 Wojny: 2326 Najwięcej wojen: Vunira (834) Graczy online: 11910 Top donator: John MeltsTarsal tunnel syndrome (TTS) is a condition that occurs when you have a damaged or compressed tibial nerve. Możesz wrócić tylko do miasta z którego tam przypłynąłeś. The distal tibiofibular joint is formed by the rough, convex surface of the distal end of. Synonyms: none. Forty-two patients (53. This page is protected to prevent harmful edits. It takes longer for the ligaments and tendons to heal. Less common causes of shin pain. composed of two types of fibers which allow the meniscus to expand. Tibiopedia. • It carries weight of the body from femur to. 7. . This dish is known as the mortise of the ankle. This muscle helps control up-and-down movement of the foot. Axes, Swords, Clubs, Bows, Crossbows. It gives your calf its structure and forms the top of your ankle. Po straceniu pacc nadal możemy handlować z Rashidem w niedzielę oczywiście po ukończeniu questa. 23) is the larger and medial bone of the crus, or middle segment of the hind limb. The tibia is much thicker than the fibula. This type of tibial deformity can be associated with persistent pseudarthrosis even without any surgical procedures, and performing an osteotomy may promote or instigate an early nonunion. 1,2 Due to its many advantages including less invasive nature, minimal soft tissue dissection, improved biomechanical results, short hospital stay, and early weight-bearing, intramedullary nailing (IMN) has. The role of these two bones is to provide stability and support to the rest of the body, and. The proximal head is irregular with a small superiorly pointed tubercle called the styloid process (formed from the posterior and lateral aspects). Podstawowe informacje. A corresponding bone in other vertebrates. Axes, Swords, Clubs, Wands, Rods, Bows, Crossbows, Helmets. Chronic tibial osteomyelitis is defined as a long-term infection of the tibia and characterized by low-grade inflammation with sequestrum or fistulous tract . Did you fix it? buykkothen. Swelling and bruising around the injured bone. 619). Rat tibial. Data indicate a bimodal distribution, with a preponderance in young men. Below and above the ankle, along the length of the bone, a tibial shaft fracture occurs. [1] Fractures of the distal tibial plafond are also termed pilon fractures to describe the high energy axial compression force of the tibia as it acts as a pestle, driving vertically into the. The posterior tibial tendon is the main. Roshamuul to nazwa wyspy znajdującej się na wschód od Darashii. The shaft is the long portion of the tibia that supports your weight and forms the structure of your shin. The tibial nerve sends signals from the brain to the muscles in the back of your leg to get them to move. 12,18 The Fitbone nail has generated a tibial. Radiographs of the knee, tibia/fibula, and ankle should be obtained as indicated (see the image below). This pain occurs when the muscles, tendons and tissue around your shin bone ( tibia) become inflamed. An aneurysm is a dilation of an artery, which is greater than 50% of the normal diameter. The tibia is found on the medial side of the leg. The tibia is a long bone and is composed of 3 parts: upper end, lower end, and interceding shaft. The numbness may be from nerve damage. 07 mm per week at the age range of 13–28 weeks and 1. In conclusion, sustained walking with body borne load increased tibial compression and potential tibial stress fracture risk. 506 W Burnside Rd. Non operative treatment of these fractures has frequently resulted in malunion, nonunion, or stiffness of adjacent joints [2–4]. Tibia vs. Po zaakceptowaniu taska nie ma znaczenia, na jakim poziomie go ukończysz (tzn. A syndesmosis is a complex fibrous joint between two bones and connected by ligaments and a strong membrane [1] with slightly movement allowed. important for start point with IM nailing. Enter the length or pattern for better results. Click To View Large Image. Tibia fractures – a break of the tibia bone in the lower leg. TibiaTibia is a multiplayer online role-playing game released in 1997, developed and published by CipSoft. rope belt). It runs over the dorsum of the foot, across the tarsal bones, and then dives inferiorly between the first dorsal interosseous muscle heading towards the plantar aspect of the foot. com. . Gdy się zużyją zaklinamy je za pomocą Small Enchanted Ruby. Introduction. Forest Practices Branch. Tibia distal aspect. Hence, iatrogenic injury of the TNA endangers the integrity of the tibial blood supply and may compromise fracture healing. ALL CONTENT OF THIS GUIDE IS Based on my judgment (SVARINA) and my experiences, I understand that they may differ from yours. Nie znajdziemy tutaj króla, czy jakiejś osoby rządzącej - na Fibuli znajdziemy jedynie sędziów. The usual. Motor Function. Aby móc się dostać na niższe poziomy gdzie jest bardzo dużo Cultów trzeba nauczyć się czterech wersów hymnu (wypadają z Cultów). . This part of the body is called—in medical terms—the leg. Tibia and fibula fractures are characterized as either low-energy or high-energy. Nie jest to takie trudne, jakie się wydaje. Reconstructive options have been limited, and the gold standard for treatment has remained amputation with prosthetic fitting. 1 The tibia is the bone in which nonunion most frequently occurs, with rates of. Owing to a lack of understanding of the condition, it may be under-diagnosed or inadequately treated. (shin- or shank-bone are lay terms). This was done to exclude the cancellous-rich epiphyseal region. In this study, 111 studies involving 41,429 subjects were included. Sensory nerves. Two years later, we used a novel method to remove the tibial intramedullary nail through the original suprapatellar incision. Aby zdobyć grzebień trzeba będzie pokonać wiele różnego rodzaju Quar, oraz potężnych żywiołaków wody, więc polecane jest pójść tam w mocnej drużynie. The shaft of your tibia includes the: Anterior border. High tibial osteotomy (HTO) was developed as a joint-preserving surgical procedure to treat relatively young patients with isolated medial compartmental knee OA, 3,8 –10,26,35,38 whereas knee. Keywords: rat, tibia, defect, OK-015, regenerate, histological structure. The shaft also has a posterior or back. TibiaTotal knee arthroplasty (TKA) in the setting of previous periarticular hardware increases resource utilization, readmissions, complications, and revision rates. szkody niecnych ludzi. The TibiaWiki settings are a way to personalize your. A partial dinosaur skeleton from the Sustut Basin of northern British Columbia, Canada, previously described as an indeterminate neornithischian, is here. The tibialis anterior muscle, also known as the tibialis anticus, is the largest of four muscles in the anterior compartment of the leg. This fracture is significant for their tendency to develop a late valgus deformity, known as a Cozen's phenomenon, that mus be monitored closely over. If you think this page should be unprotected, then use { { unprotect }} on the talk page. TIBIA definition: Your tibia is the inner bone of the two bones in the lower part of your leg. 2. “Pilon,” the French word for pestle, was first used by Etienne Destot in 1911 as an analogy for the mechanical function of the distal tibia on the talus. floating knee is an indication for antegrade tibial nailing and retrograde femoral nailing. Buty, które w 90% ochraniają nas przy chodzeniu po ogniu. Ogólnie. Jeśli nie masz dostępu na Yalahar sprawdź poradnik - Jak zrobić szybko dostęp na Yalahar. The tibia is the larger of these two bones. In this article, we shall look at anatomy of the tibia. You see, as you descend into a squat your knee moves towards and (in some people) eventually over the toes. 0 mm, p < 0. Its proximal surface bears lateral and medial condyles that articulate with the femur. It is full of old ruins and inhabited by unholy, demonic creatures. a. pl became a supported fansite on May 07, 2009 and a promoted fansite on. [] However, distal tibia skin and soft tissue coverage is relatively poor in children, and the blood supply to the bone is not abundant. Most pediatric tibia/fibula fractures can be treated with a long-leg cast, which achieves good outcomes after 6 to 8 weeks. Paladins are masters of long-range combat, well-balanced between weapons and magic. | Meaning, pronunciation, translations and examplesResults. The fibula supports the tibia and helps stabilize the ankle and lower leg muscles. Pain. The tibial nerve is one of the two terminal branches of the sciatic nerve, the largest nerve in the human body. Synonyms: Tibial bone. 42nd ed. Intricate Strike. Tibial osteotomies in children with anterolateral deformities can be disastrous. Just distal to the lateral condyle, on the lateral surface and facing distally, is the small, nearly oval facet for the head of the fibula (see later). Game Info. Tibia Mariner is a Field Boss in Elden Ring. Mana Leech. Tibial torsion is defined as any twisting of the tibia on its longitudinal axis which produces a change in the alignment of the planes of motion of the proximal and distal articulations (). The oval fibular articular facet is found on the head of fibula, facing anteriorly, superiorly and medially. Redness on the front of your ankle. Extra-articular fractures in proximal tibia are seen in up to one-tenth of all tibial shaft fractures and generally result from high-velocity trauma []. Although the vast majority of tibial shaft fractures in children heal quickly with simple cast immobilization, flexible nail fixation has become more popular, especially in the adolescent population. Only 17 (22%. A proximal tibiofibular joint is a little plane joint. runs posterior or superficial to short external rotators (superior gemellus, inferior gemellus, obturator internus) Posterior leg. Head – Starting at the proximal (top) end of the fibula, you’ll notice the larger head on the fibula. Introduction. 25× Rope Belt. Summary. A more generic term, pes anserine pain syndrome, has been applied to refer to medial knee pain, which may or may not include inflammation of the bursal sac. They focus on ranged weapons like bows, crossbows and spears to a deadly effect. Always check with your doctor or physiotherapist before attempting any rehabilitation. The tibial nerve plays a prominent. If the upper part of the bone is affected, it’s known as a proximal or tibial plateau fracture and if the lower part breaks, it’s called a distal or pilon fracture. Superiorly, it splits to enclose and anchor the aponeurosis of tensor fasciae latae and posteriorly most of the tendon of gluteus maximus 1 . It is an important structure for ankle stability 1. 3. It connects the knee joint with the ankle bones. 6541-4-801 Universal Driver 6541-4-538 3/8” IM Drill 6541-4-800 T-Handle Driver Figure 4 Instrument Bar 5 > Snap the Universal Resection Guide onto the Adjustment2. It is the second largest bone in the , after the . Pacific Forestry Centre.