Background & Aims: Tibia fractures are the most common long bone fracture. Due to minimal soft tissue and its blood supply, inadequate treatment of injuries could be a major cause of morbidity and disability. The intramedullary nail is the preferred method of treatment; however, despite all previous studies, no accurate method to measure nail length prior to surgery exists as yet. Due to the im...

Introduction: The tibia is most commonly fractured long bone in the body, as it has poor soft tissue coverage, medial surface is completely subcutaneous. The optimum method for skeletal stabilization of open fractures of the tibial shaft remains controversial. In recent years, unreamed intramedullary nailing has become an increasing attractive treatment method for tibial fractures. Due to high ...

Introduction: Femoral/tibial lengthening with a telescopic, magnetically-powered, intramedullary nail is an alternative to lengthening with external fixation. Methods: Pre-clinical testing was conducted of the PRECICE in a human cadaver. A retrospective review of the first 30 consecutive patients who underwent unilateral lengthening was also conducted. Nail accuracy was obtained by comparing th...

Osteoarthritis of the knee may occur in patients who have previously undergone tibial nailing, necessitating nail removal in order to perform total knee arthroplasty. Typically, the nail may be removed without a great deal of difficulty, either as a separate procedure or at the time of the arthroplasty. However, tibial nail removal may pose a significant challenge. Extended trochanteric osteoto...

Introduction: Intramedullary nailing has been used frequently for the treatment of tibial diaphyseal fractures. Chronic anterior knee pain has been considered the most frequent post-operative complication of this technique. We investigated the relationship between anterior knee pain and position of nail tip in proximal tibia. Methods: 103 patients were selected among patients who underwent inte...

OBJECTIVE In developing countries, tibial shaft fractures are frequently stabilised using Surgical Implant Generation Network (SIGN) nails. Despite widespread use throughout the world, little is known regarding their biomechanical properties. This study aimed to compare the mechanical stiffness of the SIGN tibial nail with a standard hollow tibial nail. METHODS A fracture gap model was create...

Full article available online at Healio.com/Orthopedics. Search: 20140225-52 Chronic anterior knee pain is the most common complication after tibial nail insertion. Its etiology remains unknown, and multifactorial sources have been suggested. The authors believe that nail prominence and the insertion point of the nail are important in the development of anterior knee pain. The purpose of this r...

Objective: To compare the outcome (union) between reamed and unreamed nailing in tibial diaphyseal fracture (transverse). Material and methods: This randomized study was carried out in the Department of Orthopedic Surgery, Nishtar Hospital, Multan from January 2009 to September 2009. Two hundred and ten patients were divided into two groups A and B. Group A patients were managed by reamed inter...

Nailing of tibial shaft fractures is considered the gold standard surgical method by many surgeons. The aim of this retrospective study was to investigate and compare the clinical outcome of tibial shaft fractures treated with intramedullary nails compressed by proximal tube and conventional intramedullary interlocking nails. Fifty-seven patients with tibial shaft fractures, treated with intram...

Chronic anterior knee pain is the most common complication after tibial nail insertion. Its etiology remains unknown, and multifactorial sources have been suggested. The authors believe that nail prominence and the insertion point of the nail are important in the development of anterior knee pain. The purpose of this retrospective study was to evaluate the roles of the insertion point and nail ...