J Korean Fract Soc.  2009 Oct;22(4):300-305. 10.12671/jkfs.2009.22.4.300.

Distal Tibial Nailing

• Yang KH

• KMID: 1470000
• DOI: http://doi.org/10.12671/jkfs.2009.22.4.300

Abstract

No abstract available.

MeSH Terms

Nails

Figure

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  Fig. 1 Correction of angular malalignment using Poller screws.

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  Fig. 2 Image intensifier must be placed perpendicular to the ankle joint.

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  Fig. 3 Distal interlocking screws must be inserted from postero-medial cortex to antero-lateral one in order to spare the distal tibio-fibular syndesmosis.

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  Fig. 4 Undisplaced articular fragments are fixed by three cannulated screws before distal tibial nailing. These screws should not obliterate the nail passage.

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  Fig. 5 Unstable distal fibular fracture and displaced medial malleolar fracture are fixed before distal tibial nailing.

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  Fig. 6 Claw toe deformity (clawing of great toe and lesser toes during dorsiflexion of ankle joint) is caused by compartment syndrome of posterior leg or adhesion of long flexor tendon to healing callus.

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  Fig. 7 Parallelism between distal interlocking screws and tibial distal articular surface is an important tip to avoid axial malalignment in distal tibial nailing.

Reference

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