Does the distal nail position impact the rates of misalignment and bone union in distal tibial fractures?
Germán GarabanoAdrian JaimeLeonel Perez AlaminoJuan Pablo TalebJoaquin RodriguezCesar Angel PescialloPublished in: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie (2023)
In intramedullary nailing of distal tibial fractures, distal positioning of the nail slightly lateral to the center of the talus in the coronal plane and slightly posterior in the sagittal plane (zone 2-2) allows high alignment percentages to be obtained. Positioning medial to this point in the coronal plane (zone 3) is associated with more significant misalignment and should be avoided.