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PURPOSE This study introduces an intramedullary nailing technique with external fixation and aims to determine the safest position of Schanz screws for this technique. METHODS Patients undergoing intramedullary nailing were evaluated by computed tomography to assess the anteroposterior (AP) length of the medullary canal and the distance between the posterior cortex and the posterior border of the nail at the level of interest in the proximal and distal tibia. In this cadaveric study, screws were inserted at the level of interest, follow