Fibula

Bone: Fibula 4F
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4F1
Location: Fibula, proximal end segment 4F1

Types:
Fibula, proximal end segment, Fibula, proximal end segment,
simple fracture multifragmentary fracture
4F1A* 4F1B*

*Qualifications:
n Extraarticular
o Intraarticular

→ To facilitate the coding of tibia/fibula fractures, they are now coded independently. The use of an “F” is required to designate the fibula.

Qualifications are optional and applied to the fracture code where the asterisk is located as a lower-case letter within rounded brackets. More than one
qualification can be applied for a given fracture classification, separated by a comma. For a more detailed explanation, see the compendium introduction.

J Orthop Trauma • Volume 32, Number 1 Supplement, January 2018 www.jorthotrauma.com | S61
DOI: 10.1097/BOT.0000000000001072
Copyright Ó 2018 by AO Foundation, Davos, Switzerland; Orthopaedic Trauma Association, IL, US.
Unauthorized reproduction of this article is prohibited.
 J Orthop Trauma • Volume 32, Number 1 Supplement, January 2018 Fibula

4F2
Location: Fibula, diaphyseal segment 4F2

Proximal 1/3

Middle 1/3

Distal 1/3

Types:
Fibula, diaphyseal segment, Fibula, diaphyseal segment,
simple fracture wedge or multifragmentary fracture
4F2A* 4F2B*

*Qualifications:
a Proximal 1/3
b Middle 1/3
c Distal 1/3

S62 | www.jorthotrauma.com Copyright © 2017 by AO Foundation, Davos, Switzerland; Orthopaedic Trauma Association, IL, US

Copyright Ó 2018 by AO Foundation, Davos, Switzerland; Orthopaedic Trauma Association, IL, US.
Unauthorized reproduction of this article is prohibited.
Fibula J Orthop Trauma • Volume 32, Number 1 Supplement, January 2018

4F3
Location: Fibula, distal end segment
(excluding lateral malleolar fractures 44) 4F3

Types:
Distal end segment, Distal end segment
simple fracture wedge or multifragmentary fracture
4F3A 4F3B

→ The fibular fracture code is used only if the distal fibula fracture is NOT part of a malleolar fracture (44). For further information, please refer to the Appendix.

Qualifications are optional and applied to the fracture code where the asterisk is located as a lower-case letter within rounded brackets. More than one
qualification can be applied for a given fracture classification, separated by a comma. For a more detailed explanation, see the compendium introduction.

Copyright © 2017 by AO Foundation, Davos, Switzerland; Orthopaedic Trauma Association, IL, US www.jorthotrauma.com | S63

Copyright Ó 2018 by AO Foundation, Davos, Switzerland; Orthopaedic Trauma Association, IL, US.
Unauthorized reproduction of this article is prohibited.
J Orthop Trauma • Volume 32, Number 1 Supplement, January 2018 Fibula

S64 | www.jorthotrauma.com Copyright © 2017 by AO Foundation, Davos, Switzerland; Orthopaedic Trauma Association, IL, US

Copyright Ó 2018 by AO Foundation, Davos, Switzerland; Orthopaedic Trauma Association, IL, US.
Unauthorized reproduction of this article is prohibited.