This prospective, single-arm Post-Market Clinical Follow-Up (PMCF) study, utilizing a registry-based control group, will assess the Verus frame's effectiveness in achieving precise tibial rotation and alignment during intramedullary nailing procedure, as well as safety of the device. The results will be compared to AO-approved criteria to ensure comprehensive evaluation of its new benefits, regulatory compliance, and continued clinical use. Tibial intramedullary nailing is the gold standard for tibial fracture fixation, where accurate alignment and rotation are crucial for optimal recovery and long-term outcomes.

Inclusion Criteria:

• Tibial fracture to be operated by suprapatellar intramedullary nailing technique
• 18-80 years old
• Signed informed consent

Exclusion Criteria:

• Situations where intramedullary fixation is otherwise contraindicated, e.g., active or potential infection, osteoporosis or where a patient's cooperation cannot be guaranteed.
• Pregnancy, breastfeeding
• Open fractures with severe soft tissue damage
• Polytrauma
• Previous tibia fracture