Abstract:Tibial refracture is a common problem among active individuals, with a second surgery presenting several challenges and difficulties. Previously implanted metalwork can cause obstruction of distal locking of the intramedullary tibial nails due to radiographic overlap. Full removal of a distal tibial plate is associated with significant surgical morbidity and wound complications as well as increased operative time and X-ray exposure. We report a simple method to overcome the above problem by removing only some … Show more
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