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Determining your implant: Templating a nail for the distal tibia fracture

Patrick J Kellam¹, Graham J Dekeyser¹, Justin M Haller¹

¹Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.

|November 27, 2021

Abstract:

The goal of this article is to aid the orthopedic surgeon in determining whether an intra-medullary (IM) device for fixation of a distal tibia fracture is feasible. Using Computed Tomography (CT) scans of the fracture, this review demonstrates a simple way to determine whether two or even three distal interlocking screws are achievable in stable bone. Additionally, this paper offers a summary chart of commonly used tibial nails which can be used for planning purposes. Finally, a clinical summary of very distal tibial shaft fractures treated with IM fixation is provided.

Keywords:

Distal tibia Surgical planning Tibia fracture Tibial nail

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Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...

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