For internal tibias I mean
Youtube's closed captions did not transcribe all the words correctly, but this gives a rough idea of what Dr. Paley (he is not my doctor, but I am going to find out next week what my doctor DR. Giotikas does) does:
See 1:26:00 roughly in this video:
1:26:18
two okay so that's so I I fixed the fibula at both ends most people fix a
1:26:24
figure only at the lower end uh why do I fix it at both ends at the upper end that has something else it's attached to
1:26:30
a ligament the lateral collateral ligament of your and if you don't fix it there it'll pull down a bit and when it
1:26:39
falls in the lateral clutter ligament it can actually make it difficult for you to straighten your knee so you can avoid
1:26:45
that the second thing is um if you don't fix it at both ends it
1:26:51
may prematurely consolidate the fibula so so what some people do and I think
1:26:57
this person did it they'll go and remove a segment of the fibula
1:27:03
thinking then it won't pull but then you get a non-union you actually get an area
1:27:08
of the fibula that never heals and that is a problem in many many ways first of
1:27:14
all the migration of the bottom second of all you know so ankle pain third of all if
1:27:20
you ever pull the tibial Rod out all the students goes on the table you have a higher rate of refracture of the tibia
1:27:26
if fibula is not United so I mean there's so many many things that you
1:27:33
know people just do silly things now let's talk about the main question you
I did not quite understand but I am under the impression (maybe an incorrect impression?) that Dr. Paley thinks that both ends of the fibula should be fixed to prevent the problems described above
I'm a bit worried, I'm gonna find out if Dr. Giotikas does this or not