Tibia
21:57
Tibia
Nov 3, 2023
kenhub.com
Proximal tibial metaphyseal fractures being treated with an intramedullary nail are known to commonly fall into a valgus and procurvatum deformity due to lack of cortical fit in the metaphyseal segment. To help prevent this deformity blocking screws may be used. As a general rule, a blocking screw should be placed in the concavity of the deformity you intend to prevent. Thus, to prevent a valgus deformity you would place a screw just lateral to the nail. Likewise, to prevent a procurvatum deform
25:33
Proximal tibial metaphyseal fractures being treated with an intr…
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The first step in the treatment of pilon fractures involves anatomical reduction and stabilization of the articular surface. This can be accomplished with pointed reduction clamps, K-wires, lag screws, or any combination of these. Plate fixation and reduction of the metaphyseal comminution should occur after the joint surface has been re-established. Simple fibular fractures can be plated before fixation of the tibia. Comminuted fibular fractures are usually better reconstructed after the tibia
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