previous section: 8/10 page: 2/3 next

8Insertion of the cannulated nail

Nail insertion

The tip of the nail should be placed in the center of the distal tibia, approximately at the level of the physeal scar (denser bone). Distal placement of the nail is particularly important for fractures below the medullary isthmus. Proper fracture alignment must be maintained by the surgeon, since at this level, passage of the nail does not reduce the fracture.