Open Access, Peer-reviewed, Quarterly
pISSN 1225-1682
eISSN 2287-9293
    J Korean Fract Soc. 2009 Oct;22(4):300-305. Korean.
    Published online Oct 30, 2009.
    https://doi.org/10.12671/jkfs.2009.22.4.300
    Copyright © 2009 The Korean Fracture Society. All rights reserved.
    Review

    Distal Tibial Nailing

    Kyu Hyun Yang, M.D., Ph.D.
      • Department of Orthopaedic Surgery, Gangnam Severance Hospital, Seoul, Korea.
    • Address reprint requests to: Kyu Hyun Yang, M.D., Ph.D. Department of Orthopaedic Surgery, Gangnam Severance Hospital, 146-92, Dokok-dong, Gangnam-gu, Seoul 135-720, Korea. Tel: 82-2-2019-3410, Fax: 82-2-573-5393, Email: kyang@yuhs.ac

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Figures

    Fig. 1
    Correction of angular malalignment using Poller screws.

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

    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.

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

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

    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.

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

    References

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    MeSH Terms
    Nails
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