Using the Universal Large Distractor For Tibial Nailing

The distractor is applied from the medial side of the injured leg, with the leg supported by bolsters and rotated externally into a 'frog-legged' position. Use of a fluoroscopy unit placed medially facilitates Schanz screw placement. After applying the distractor, the surgeon moves to the lateral side of the tibia for the rest of the procedure; the fluoroscopy unit remains on the unaffected side to facilitate proper reduction of the fracture.


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