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.
Next Page
TTN Index