The shin bone is called the tibia and connects the knee to the foot. It has a small second bone attached called the fibula. There are many types of tibia fractures that can all be repaired to restore full athletic function. Starting from the top of the bone we commonly see growth plate fractures that are repaired using parallel pins. Often we can align and place these pins closed using a special machine called an image intensifier (fluoroscopy unit) to show where the implants are during surgery. This ensures excellent implant placement. The middle of the bone can break and this requires stabilisation using a bone plate and screws. It is important to ensure the plate is long enough and well positioned on the bone surface (contoured). Growth plate fractures at the bottom of the tibia are repaired using pins and fluoroscopy as described above. Finally dislocated ankles (most common in cats) can be fixed using a temporary supportive bandage or frame (circular ring external fixator).