Tibia and Fibula Bone Anatomy
Tibia and Fibula Bone Anatomy
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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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