1. Fracture of the distal third of the tibial diaphysis

2. Insert a pin in each fragment close to the fracture site

3. Select the rail fixator of the appropriate length.

4. Connect the first pin to the rail by means of a post and a clamp, but don't tighten them.

5. Do the same with the distal pin.

6. Insert and lock a bolt proximally and distally to the posts.

7. Introduce a distractor within the two pins.

8. Progressively open the distractor, thus distracting the fracture until it can be reduced.

9. Once you're satisfied with the fracture reduction, tighten the post and clamp of both pins in order to stabilize them.

10. Check for the fracture reduction, and adjust it as needed.

11. Add pins as needed for further stabilization.