Introduction: Successful minimally invasive extraction of a broken intramedullary distal piece the nail is very challenging. We herein report simple and reproducible technique cannulated nails using self-made extractor. Case Presentation: present 48-year-old male patient who was admitted to our hospital for internal implant removal, whose right tibial fracture had healed, retained at 12 years. ...

Background: Distal metadiaphysealtibial fractures are commonly seen lower limb fractures. Intramedullary nail fixation (IMN) and Minimal invasive plate Osteosynthesis (MIPO) the two mainstay treatments for tibial fractures, but agreement on best internal fxation distal is still controversial. This meta-analysis was designed to compare success of IMN MIPO fxations in treatment terms complication...

BACKGROUND Tibial fractures have been associated with the highest rates of bone union disturbances for many years. Stabilization of the tibial shaft with a reamed intramedullary nail is now being increasingly recommended as a treatment of choice. The aim of this study was to evaluate the outcomes of treatment of tibial shaft non-union with reamed intramedullary nails locked distally and proxima...

conclusions the fixator-assisted lengthening plate technique helps to maintain the stability and alignment at both sides of an osteotomy during tibial elongation. it allows the early removal of the external fixator immediately after lengthening is completed. this technique can be applied in children with open physes and in patients with a narrow medullary canal who are unsuitable for limb lengt...

The study included 51 patients with tibia fractures, who underwent percutaneous bone reposition and stabilization with unrimed tibial locking nail. The results obtained using this method were compared with those obtained by standard fracture treatment where flat and anatomic plates were applied (n = 64). In patients who had osteosynthetic material implanted percutaneously (using unrimed tibial ...

Intramedullary nailing, which is preferred in tibial diaphyseal fractures, is also frequently used in distal third tibial fractures. Various angular deformities, including varus/valgus deformity, may be observed during postintramedullary nailing. Orthopedic surgeons use several methods to prevent this problem.In this study, at least 2 static locking screws were placed proximal and distal to the...

The surgical goals for treating proximal tibial fractures are to restore articular congruity, the mechanical axis, and knee motion while avoiding soft-tissue complications. The fracture pattern should be correctly identified and understood. For fractures with minimal intra-articular extension, fracture fixation with an intramedullary nail can decrease the risk of infection because it uses a sma...

The authors present a rare technique of tension band plating of the anterior tibia in the setting of a nonunion stress fracture. Surgical management with an intramedullary nail is a viable and proven option for treating such injuries. However, in treating elite athletes, legitimate concerns exist regarding the surgical disruption of the extensor mechanism and the risk of anterior knee pain asso...

Tibia is the most commonly fractured long bone in the body with an annual incidence of tibial shaft fractures 2 per 1000 individuals. The use of non-operative treatment of tibial fractures that are widely displaced or that are the result of high-energy forces is associated with a high prevalence of malunion, stiffness of the joint, and poor functional outcome. Closed Tibial diaphyseal fractures...

BACKGROUND Intramedullary (IM) nailing is the treatment of choice among orthopaedic surgeons for tibial shaft fractures. However, because of the close proximity of the nail's insertion site to the anterior medial (AM) meniscal root on the tibial plateau, there is increased risk of iatrogenic injury to the meniscal root during nailing. PURPOSE To quantify the area of the AM meniscal root footp...