Osteosynthesis of 245 tibial shaft fractures: early and late complications

Fatigue performance of angle-stable tibial nail interlocking screws

“…With upcoming implant technology, indication for intramedullary tibial nailing has extended towards extraarticular fractures of the distal third of the bone [5,6]. This change is accompanied by adverse effects like high rates of delayed bone healing, nonunion or malalignment and an incidence of distal locking screw failure ranging from 6 % to 14 % [1,3,7,8]. Due to the anatomical fact that the intramedullary canal flares towards distal, loading of the nailscrew interface is emphasized by reduced nail-bone contact [9].…”

Percutaneous Screw Fixation of Distal Tibia Fractures – Functional Results in Sixteen Patients

“…Early surgery accomplished with a traumatic dissection, resulting in anatomic reduction secured by rigid fixation and followed by early active motion and delayed weight bearing gives the chance of successful outcome [12,17].…”

Functional Outcome Analysis of Management of Compound Fractures of Tibia With Ilizarov Fixator

“…Because of the tenuous soft-tissue coverage of the tibia, plate fixation has typically been associated with an unacceptably high prevalence of wound complications, especially when it has been performed for more severe fractures. (11,12) Tibial nailing though in popular use also has its own share of complications. Malunion occurs after up to 37% of tibial nailing procedures.…”