Nonreamed interlocking tibial nailing for open tibia fractures

This article outlines the indications, operative technique, and postoperative care for the unreamed interlocking tibial nail. The primary indication is for compound tibial fractures. The techniques volves the use of a fracture table for optimal C-arm visualization and limb control. The nail is inser...

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Bibliographic Details
Published inOperative techniques in orthopaedics Vol. 1; no. 4; pp. 310 - 318
Main Authors Carr, James B., Cardea, John A.
Format Journal Article
LanguageEnglish
Published Elsevier Inc 1991
Subjects
intramedullary nailing
open fractures
tibial fractures
intramedullary nailing
tibial fractures
open fractures
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Summary:This article outlines the indications, operative technique, and postoperative care for the unreamed interlocking tibial nail. The primary indication is for compound tibial fractures. The techniques volves the use of a fracture table for optimal C-arm visualization and limb control. The nail is inserted through a proximal portal. Interlocking is performed for rotational and longitudinally unstable fracture patterns. Postoperative care requires close monitoring for healing complications. Removal of locking screws and/or early bone grafting can be required. Implant failure is more likely if delayed healing occurs.
ISSN:1048-6666
1558-3848
DOI:10.1016/S1048-6666(06)80103-5