Single or double distractor
Fracture reduction techniques in the proximal tibia rely on the concept of
indirect reduction to realign the fracture fragments where one relies on
ligamentotaxis, that is the attachment of soft-tissue hinges such as ligaments
and muscle. These techniques require the use of one or two large distractors
bridging the slightly flexed knee. Ligamentotaxis can reduce a considerable
portion of the fracture, primarily large condylar fragments, as well as realign
the diaphyseal-metaphyseal shaft extension of the fracture.