Swipe! Lower extremity trauma based on my census comes mainly from road traffic accidents involving motorcycles. Remove the alcohol, add more discipline, and bikes should be a great way to move around; not to mention the numerous sports options. AO 43C3.2 Complete, multifragmentary articular and metaphyseal fracture of the distal tibia on radiographs (A). CT cuts show articular fragments (B). Cine-CT 3D Reconstruction (C). Intraoperative fluoroscopy shows fibular ORIF with plate and screws then minimally invasive plate osteosynthesis of the tibia medially (D). Postoperative x-rays (E). Postoperative x-rays after two years show radiographic union (F). Postoperative x-rays after removal (G). Back to the scooter ever since. I think this fracture pattern lies borderline in terms of management. It may easily confuse the trainee on mixing principles of reduction and methods of fixation. #orthopaedics #footandankle #ORIF #MIPO #CRIF #patienthappy #hardwareremoval#aotrauma #pieytobillo #bacolodfootdoctor#firstloveistrauma #motocross #radiology #ultrasound #fracture #trauma #fauxmalleolar #roadtrafficaccident #almostpilonbutnotquite #vehicularcollision