title: Intramedullary Nail and Plate Combination Fixation for Complex Distal Tibia Fractures: When and How?
abstract: Intramedullary nail and plate combination techniques have been described mostly for use in the proximal tibia. However, the nail and plate combination technique can also be used in the distal tibia, to counteract the deforming forces that cause construct failure and nonunion. In this article, we review pertinent anatomy and biomechanics and offer case examples that highlight the indications and applications of the nail and plate combination technique for distal tibia fractures.
authors: *Division of Orthopaedic Trauma and Complex Adult Reconstruction, Department of Orthopaedic Surgery, Orlando Regional Medical Center, Orlando, FL; and †Division of Orthopaedic Trauma, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY.
authors: Richard S
authors: RS
authors: Yoon
authors: Frank A
authors: FA
authors: Liporace
mesh_terms: D000328:Adult; D064386:Ankle Fractures / Q000601:surgery*; D001858:Bone Nails; D001860:Bone Plates; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D005594:Fracture Fixation, Intramedullary / Q000379:methods; D006801:Humans; D008297:Male; D013978:Tibial Fractures / Q000601:surgery*