Fig. 4

Using the SEIP technique, the distal tibial fracture reduction was carried out under the condition of almost straight lower limbs, facilitating tibial stabilization, percutaneous fixation of distal tibial fractures, fibular fixation, supplementary reduction techniques, and imaging (A), and there was no need to alter the position during nail insertion (B). Note that in the intraoperative photograph A, the C-arm intensifier was positioned parallel to the operating table to obtain lateral views. For AP viewing, the C-arm image intensifier was simply rotated directly above the operating table. X-ray images of the tibia segments at varying distances were obtained by simply moving the C-arm horizontally, which simplified the entire process. SEIP semi-extended infrapatellar, AP anteroposterior