Opening the Tibia

Position the patient

Position the patient supine on a radiolucent operating table. Ensure that the knee of the injured leg can be flexed at least 90°, and x-ray visualization of the entire tibia is possible in both the AP and lateral views.

Temporary reduction and stabilization can be accomplished by manual pressure at the fracture site, or by application of a sterile tourniquet or elastic bandage around the fracture. Alternatively, the Large Distractor may be used on the medial side, with the insertion of Schanz screws, in the frontal plane, as close to both tibial ends as possible. At the surgeon's discretion, the procedure can be performed on a fracture table with the leg placed in traction.





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