Nonarticular Proximal Tibia Fractures: Treatment Options and Decision Making

Extending the Indication of Intramedullary Nailing of Tibial Fractures

“…Since most of these fractures are caused by high-energy direct trauma also leading to adjacent soft tissue injuries, it is necessary to limit the degree of direct open exposure [10]. As such, intramedullary nailing is desirable since plate osteosynthesis of the tibia has been shown to have a higher incidence of wound breakdown and infection [11].…”

Proximal tibial fractures: early experience using polyaxial locking-plate technology

“…Nonoperative treatment with traction, casts or braces has been reported to produce good results in selected cases, but complications such as loss of reduction, prolonged hospital stay and poor functional outcome can be expected. Consequently, the nonoperative treatment option is limited to minimally or undisplaced fractures without major soft-tissue or neurovascular injury that are generally considered stable [1]. Arthroscopically assisted fixation and minimal percutaneous pinning have also been reported to give good results, but these modalities are suitable for simple split-depression and local compression fractures [2].…”

Fractures of the Proximal Third Tibia Treated With Intramedullary Interlocking Nails and Blocking Screws

“…Controversy still remains regarding the use of IMN as a definitive management of proximal third tibial fractures [4,5] . Historically, these injuries have been notoriously difficult to fix and maintain without early failure in some reported series [6] .…”