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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.