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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