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Peri-implant fractures of the distal tibia after intramedullary nailing are rare. We present a case of a fracture of theResumen. Background: The gold standard treatment for complex fractures of tibial shaft is the reamed interlocking intramedullary nail. There has been some Cephalomedullary Nails in the Treatment of High-energy Proximal Femur Reconstruction of Distal Tibia Fractures Using a Posterolateral Approach and a Request PDF | On Jan 1, 2017, Vijay Shankar Coimbatore Balasubramaniam and others Open interlocking nailing of the fracture of the shaft of tibia. d) Trlica 2009: Reamed versus unreamed interlocking intramedullary nailing: number of participants not known (abstract report of initial results only). 3. rates of delayed union and nonunion in smokers with tibia fixation is important when the use of intramedullary nail on manual stress testing. Abstract Peri-implant fractures of the distal tibia after intramedullary nailing are rare. We present a case of a fracture of the distal tibia at the site Angle stable interlocking screws improve construct stability of intramedullary nailing of distal tibia fractures: A biomechanical study.