Introduction : In the field of trauma surgery, fractures of the leg remain the injuries with a higher complication rate. The optimum treatment for fractures of the tibia remains controversial. When the aim is stable fixation with early restoration of function without use of plaster, intramedullary nailing offers an attractive treatment option.Newer tibial nail designs has widened the range of i...

Introduction Tibial plateau fractures are complex injuries in the elderly population. When traditional methods of fixation are not suitable, an alternative method needs to be chosen for a favorable outcome. We demonstrate a previously undescribed treatment for displaced tibial plateau fractures in the very elderly with poor soft-tissue integrity. Case Report A 90-year-old woman suffered an op...

BACKGROUND Distal tibial reconstruction with use of an external fixator when there is bone loss, limb-length discrepancy, and/or ankle instability is associated with many problems. The technique of limb-lengthening, ankle arthrodesis, and segmental transfer over an intramedullary nail has been introduced to overcome these problems. The present study investigates this combined technique. METHO...

The combination of plate and intramedullary nailing has been established as the treatment proximal tibial fractures. Nevertheless, at distal end tibia, application plate-assisted is rarely applied a therapeutic technique. authors provide technical note on use reduction plating technique for nail insertion management tibia fractures.
 Keywords: Distal fracture; open internal fixation; percu...

OBJECTIVE To evaluate and present our experience using the expandable nail system for the treatment of acute tibial shaft fractures. DESIGN Retrospective study. SETTING Two level-1 trauma centers-University teaching hospitals. METHODS Fifty-four consecutive patients were treated by this nail system for acute tibial shaft fracture. Two nail diameters were used, 8.5 mm and 10 mm. Operation,...

Antibiotic cement-coated intramedullary nails maintain a locally high antibiotic concentration while contributing to bone stability. We present a case of femoral subtrochanteric fracture in a patient with an infected nonunion who was successfully treated for an infection and nonunion using an antibiotic cement-coated tibial intramedullary nail. A 79-year-old woman with a right femoral subtrocha...

is challenging owing to the relatively high chance of displacement during nail insertion. The stability of the proximal fixation is inferior because of the wider diameter of the intramedullary canal in the metaphysis. This has led to the use of Poller screws for additional blocking during intramedullary fixation of proximal or distal tibial fractures.1 The effects of Poller screw is two-fold. F...

We performed this systematic review to evaluate tibial lengthening procedures with the use of an intramedullary nail. We investigated the hypothesis that lengthening over a nail can reduce the time spent in an external fixator and increase the rate of consolidation thereby reducing the risk of complications and improving patient satisfaction. We conducted a comprehensive literature search using...

The need for reaming and the number of locking screws to be used in intramedullary (IM) tibial nailing of acute fractures as well as routine bone grafting of tibial aseptic nonunions have not been clearly defined. We describe the results of reamed interlocked IM nails in 233 patients with 247 tibial fractures (190 closed, 27 open and 30 nonunions). Ninety-six percent of the fractures were unite...

BACKGROUND Three types of telescopic nails are mainly used for intramedullary limb lengthening nowadays. Despite some important advantages of this new technology (e.g. controlled distraction rate, not restricted availability, possibility to perform accordion maneuvers), few articles exist on clinical results and complications after lengthening with the PRECICETM nail (Ellipse, USA). OBJECTIVE...