Unreamed Interlocking Intramedullary Nailing of a Grade II Open Tibial Shaft Fracture
Presented by Dr. K J Reddy · MS (PGI), DNB, FRCS (Eng), FRCS (Ed), FRCS Orth (UK)
Unreamed Interlocking Intramedullary Nailing of a Grade II Open Tibial Shaft Fracture
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Sign in to watchCreate a free accountA patient presented with a comminuted Grade II open tibial shaft fracture associated with a 1.5–2-cm wound. Unreamed interlocking intramedullary nailing was selected to provide stable fixation while limiting further disruption of the endosteal blood supply and potential contamination of the medullary canal.
Discussion
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Unreamed interlocking tibial nailing can provide stable, biologically respectful fixation for an open comminuted tibial shaft fracture when the entry point, nail orientation, rotational alignment and locking sequence are controlled precisely.
Key takeaway
Unreamed interlocking tibial nailing can provide stable, biologically respectful fixation for an open comminuted tibial shaft fracture when the entry point, nail orientation, rotational alignment and locking sequence are controlled precisely.