Titanium Cannulated Tibial Nail Expert Nailing System Surgical Technique DePuy Synthes Trauma 9
2
Reduce fracture
Instrument
394.35*
large distractor
Perform closed reduction manually by axial traction under
image intensification. the use of the large distractor may
be appropriate in certain circumstances.
Note:
The reduction can be temporarily fixed with reduc-
tion clamps. In epiphyseal fractures the condyles or the
pilon are fixed first in order to enable the nail insertion.
oPenIng the tIbIa
1
Position patient
Position the patient supine on the radiolucent table. ensure
that the knee of the injured leg can be flexed at least 90°.
Position the image intensifier so that visualization of the
tibia, including the articular surface proximally and distally,
is possible in aP and lateral views.
optionally, the procedure can be performed on a fracture
table with the leg placed in traction.
Note:
The knee roll can be placed under the lower part
of the thigh if it obstructs the view of the tibial plateau
in the AP view.
*also available
