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To assess the impact of various reduction techniques on postoperative alignment following intramedullary nail (IMN) fixation of tibial shaft fractures. Retrospective comparative study. Level I trauma center. Four hundred twenty-eight adult patients who underwent IMN fixation of a tibial shaft fracture between 2008 and 2017. IMN fixation with use of one or more of the following reduction techniques manual reduction, traveling traction, percutaneous clamps, provisional plating, or blocking screws. Immediate postoperative coronal and sagittal
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