In the last fifteen years the indications for osteosynthesis in the treatment oftibial fractures have increased considerably. As early as 1958 Merle d’Aubign#{233} and Franc insisted on the value of osteosynthesis in compound fractures. Since 1960 blind intramedullary nailing has been mainly adopted in the treatment of closed fractures (Zucman and Maurer 1965) and almost exclusively in the trea...

BACKGROUND There are several different techniques commonly used to perform intramedullary (IM) nailing of the femur to fix femoral fractures. We sought to identify significant differences in outcomes of studies comparing 1) trochanteric and piriformis entry and 2) antegrade and retrograde entry in IM nailing of the femur. METHODS We searched MEDLINE, Cochrane and Embase databases and the Orth...

Study Design: Prospective consecutive series. Objective: To Evaluate the role of exchange nailing in non union of fractures of long bones of lower limb. Summary of Background data: Exchange Nailing which includes removal of current intramedullary nail, reaming of medullary canal and placement of larger diameter nail shows increased union rate as seen in various studies. Methods: A Prospective s...

High energy trauma such as road traffic accidents, are a common cause of lower extremity fractures. Tibia fractures the second most fractures, and distal tibia deserve special attention due to relatively lesser amount necessary fracture, propensity for complications, nonunion, malunion, infections, skin cover complications. In this study, we compare discuss outcomes two well-established modalit...