To the Editor: We would like to compliment Levine et al on their case report “Removal of a Broken Cannulated Tibial Nail: A Simple Intramedullary Technique” (J Orthop Trauma 2004;18:247– 249) and Steinberg et al on their technical trick “Removal of a Broken Distal Closed Section Intramedullary Nail: Report of a Case Using a Simple Method” (J Orthop Trauma 2004;18:233–235). The problem of a brok...

The present study was conducted on six dogs, selected randomly irrespective of their age, sex and breed; diagnosed with tibial diaphyseal fracture. For the repair fracture tibia, Titanium elastic intramedullary nailing performed in all cases. Clinical, orthopaedic, radiographic haemato- biochemical examinations were pre-operatively, just after surgery, at 15th, 30th 60th post-operative days. Gr...

It is known fact that proximal and distal fractures of tibia tend to angulate into varus when treated with intramedullary nails or functional braces. Proximal fractures of tibia tend to angulate into anterior bowing when fixed with nail when fibula is intact. Intramedullary nailing for metaphyseal tibial fractures with short proximal and distal fragment is associated with frontal and sagittal p...

Objectives Intramedullary nailing is the treatment of choice for fractures of the tibial shaft, which might necessitate the nail removal due to complications in the long-term. Although considered as a low-risk procedure, intramedullary nail removal is also associated with certain complications. Here, we compared the most commonly used stainless steel and titanium nails with respect to the compl...

Tibial diaphyseal fractures are the most frequent among long bone fractures. It is estimated that around 300,000 new fractures are treated per year in the USA, and around 50,000 in Brazil.1 The classification used most often in the evaluation of these fractures is that proposed by the AO group, where type A fractures are simple, those of type B present a wedge fracture, and those of type C are ...

Introduction. Ankle arthrodesis is performed in a variety of methods. We propose a new technique for tibiotalar arthrodesis using a newly designed intramedullary nail. Methods. We proposed development of an intramedullary device for ankle arthrodesis which spared the subtalar joint using a sinus tarsi approach. Standard saw bones models and computer assisted modeling and stress analysis were us...

BACKGROUND Fractures of the distal third of the tibia are mostly associated with a fibular fracture that often requires fixation. The preferred treatment of distal tibial fracture is the minimally invasive percutaneous plate osteosynthesis (MIPPO) procedure. However, there are no clear cut guidelines on fixation of the fibular fracture and currently most orthopedic surgeons use a plate osteosyn...

Recently introduced tibial intramedullary nails allow a number of distal screws to be used to reduce the incidence of malalignment and loss of fixation of distal metaphyseal fractures. However, the number of screws and the type of screw configuration to be used remains obscure. This biomechanical study was performed to address this question. Thirty-six Expert tibial nails (Synthes, Oberdorf, Sw...

55 Failure of Intramedullary Expandable Tibial Nail and Fragmentation During Extraction Bradley C. Daily, M.D., M. Camden Whitaker, M.D., Steven J. Howell, M.D., Teresa L. Jones, M.P.H., M.T.(ASCP), Jeffrey M. Janzen, B.S. Orthopaedic Sports Health Clinic, Salina, KS Department of Surgery, Section of Orthopaedics, University of Kansas School of Medicine–Wichita Kansas Joint and Spine Institute,...