Determining your implant: Templating a nail for the distal tibia

Injury · Feb 2022

Review

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

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.

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- Patrick J Kellam, Graham J Dekeyser, Justin M Haller, Thomas F Higgins, David L Rothberg, and Lucas S Marchand.
- Department of Orthopaedic Surgery, University of Utah, Salt Lake City, UT, USA.
- Injury. 2022 Feb 1; 53 (2): 789-797.
AbstractThe 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.Copyright © 2021 Elsevier Ltd. All rights reserved.

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

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