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Distal tibia fractures represent a significant challenge to most of the surgeons even today. They constitute 1-10% of all lower extremity fractures. Operative treatment is indicated for most tibia fractures caused by high energy trauma, which allows early mobilization, avoids shortening and other complications associated with prolonged immobilization. Conventional ORIF have been associated with complications like infection and delayed or non-union due to devitalization of bony fragments and additional damage to the soft tissues. Intramedullary nails often do not provide enough stability.
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