(b)(4).Konstantinos triantafillou, eric barcak, arturo villarreal, cory collinge, and edward perez.Proper distal placement of tibial nail improves rate of malalignment for distal tibia fractures.Orthop trauma 2017;31:e407¿e411.If any further information is found which would change or alter any conclusions or information, a supplemental will be filed accordingly.Zimmer biomet will continue to monitor for trends.
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It was reported in a journal article that overall malalignment in the coronal plane was 17.6%.There was a 2.9% (1/34) fracture malalignment rate when the nail was placed lateral to the center of the joint versus 27.5% (14/51) when placed medial to the center of the joint, with all occurring in valgus.There were 64 patients that met the inclusion criteria at a 48% misalignment rate, which was greatest when the nail was placed in the anterior quadrant.The study consisted of 24 phoenix nails while the remaining was competitor product.
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