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Proximal tibial metaphyseal fractures being treated with an intramedullary nail are known to commonly fall into a valgus and procurvatum deformity due to lack of cortical fit in the metaphyseal segment. To help prevent this deformity blocking screws may be used. As a general rule, a blocking screw should be placed in the concavity of the deformity you intend to prevent. Thus, to prevent a valgus deformity you would place a screw just lateral to the nail. Likewise, to prevent a procurvatum deform
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Nailing in proximal tibia fractures
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Just Ortho Things on Instagram: "Nailing in proximal tibia fractures with anterior spike or transverse fractures can be tricky m, especially when proximal fragment is unstable. Judicious execution of correct entry, clamping and pollers can help! . . . . . #trauma #ortho #justorthothings #orthopedics #fracture #bone #surgery #orthoworld #instaortho #doctor #femur #hip #knee #tibia #plateau #instamood #instalearning #skills #tricks #tips #principles #nailing #traumatologia"
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