6 DePuy Synthes Trauma Titanium Cannulated Tibial Nail Expert Nailing System Surgical Technique
clInIcal caSeS
Shaft fracture
Case 1
for simple shaft fractures, two proximal ml and two distal
ml locking screws are normally sufficient to stabilize the
fracture. Secondary dynamization is achieved by removing
the proximal static locking screw.
Fracture involving the distal component
Case 2
the use of four distal locking screws is sometimes necessary
to achieve stabilization of the distal fragment. In many cases,
three locking screws placed in the most distal locking options
are sufficient to stabilize the distal fragment.
note: results from clinical cases are not predictive of results in other cases.
results in other cases may vary.