Bleeker NJ, et al. - Researchers investigated the intra- and inter-observer reliability of low-dose protocolled bilateral postoperative Computed Tomography (CT)-assessment of rotational malalignment after intramedullary nailing (IMN) of tibial shaft fractures via analyzing 156 patients with tibial shaft fractures that were treated with IMN in a Level-I Trauma Centre. Findings suggest that to assess rotational malalignment in these patients, bilateral post-operative low-dose –similar radiation exposure as plain chest radiographs– CT assessment of tibial rotational alignment is a reliable diagnostic imaging modality that allows early revision surgery. In addition, among these patients, it may assist in assessing the incidence-, predictors- and clinical relevance of post-operative tibial rotational malalignment.