Displaced tibial intramedullary nail post fall and distal locking screw fracture
Presentation
Fall in rehab
Patient Data
Post fall
Comminuted fracture of the distal tibial shaft fixated with proximally and distally locked intramedullary nail. The most distal screw is fractured and the intramedullary nail is displaced anteriorly within the medullary cavity, resulting in mild shortening with increased anterolateral angulation of the distal tibial fracture fragment.
There is also shortening and increased anterolateral angulation of the comminuted distal fibular shaft fracture fragment.
No new fracture is identified. Unchanged alignment of the ankle joint.
Pre fall post int fixation
Intramedullary nail fixation of the comminuted distal tibial shaft fracture. Alignment is anatomic. No evidence of orthopedic hardware failure.
Comminuted fracture of the distal fibular shaft remains mildly displaced.
Case Discussion
Nice example of traumatic failure of the distal locking screw
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