Intramedullary interlocking tibial nailing is usually performed using an image intensifier. But being expensive, it is not available in the most of the hospitals of resource-poor countries of the world. The purpose of this study is to analyze the results of interlocking nailing without the use of an image intensifier. This is the retrospective study of 55 diaphyseal tibial fractures treated wit...

OBJECTIVE To assess the intramedullary nail entry point in the proximal region of the tibia, through a questionnaire. METHODS 230 participants undergoing treatment for tibial fractures were interviewed. The questionnaire was created with three sections that could be answered in a "Yes" or "No" format and a fourth section that had two figures representing anteroposterior (AP) and lateral view ...

Nail biting is a common behavioral problem. While there are established behavioral interventions for management, they are of modest efficacy, and there is minimal evidence for effective pharmacotherapy. This study investigated the role of N-acetylcysteine (NAC) a potent glutathione and glutamate modulator for the treatment of pathological nail biting in children and adolescents. This pilot rand...

Intramedullary nailing is treatment of choice for diaphyseal fractures tibia in adults. Infrapatellar medullary usually done tibial but metaphyseal reduction become a challenge due to anterior deformity pull patellar tendon. Suprapatellar becoming popular and route because it semiextended position which helps good fixation. But the major disadvantage this approach specific instrument sets impla...

PURPOSE To assess the clinical outcome of unreamed intramedullary interlocking nailing in open fractures of tibia, and to evaluate the incidence of complications in these open fractures as a result of the unreamed intramedullary nailing. METHODS Between June 1999 and May 2000, a total of 60 cases of open tibial shaft fractures were operated on with unreamed interlocking nails at Safdarjung Ho...

BACKGROUND Premature failure of either the nail and/or locking screws with unstable fracture patterns may lead to angulation, shortening, malunion, and IM nail migration. Up to thirty percent of all unreamed nail locking screws can break after initial weight bearing is allowed at 8-10 weeks if union has not occurred. The primary problem this presents is hardware removal during revision surgery....

A retrograde nail with posterior-to-anterior (PA) locking into os calcis, talus and tibia was used to correct deformity and achieve fusion after failed fusion. A variety of methods have been published to achieve union of the ankle and subtalar joint in a failed fusion situation. We have studied a retrograde locking nail technique through a 2.5-cm incision in the non-weightbearing part of the so...

A 17-year old boy with a history of a right femoral shaft fracture, fixed with a reamed intramedullary nail four years earlier, presented with a 15° genu recurvatum deformity, presumably due to premature closure of the anterior proximal tibial physeal plate following a Salter type V injury. He was treated with a supra-tubercular anterior opening wedge osteotomy, fixed with two Puddu plates and ...

Orthopaedic surgeons have reported increased neurologic complications with the employment of next-generation tibial nail fixation with variable proximal and distal locking options. However, vascular injury due to oblique screw placement has not been documented. We describe a case in which a medial-to-lateral oblique locking screw led to significant vascular injury. The judicious use of these sc...

The removal of the distal fragment of broken intramedullary nail often poses an important technical challenge. Many methods have been published on the removal of the distal piece of a broken distal closed section intramedullary nail that involve the use of hooks, olive wires or special instruments that are often not available to the general orthopedist working in a smaller setup. Additionally, ...