Intramedullary nailing is minimally invasive and effective treatment option for extraarticular distal tibial fractures. Advantages over traditional open reduction and plate fixation can include shorter operative times and reduced risk of wound complications. Studies have shown that suprapatellar insertion technique significantly reduces the incidence of malunion, allowing for better maintenance of reduction during reaming and nail insertion. Plus, this technique doesn't cause cartilage injury or increased postoperative knee pain. Proper fixation with distal interlocking screws is essential for stability. The number and direction of these screws don't affect the stiffness of the construct, but maximizing their working length does increase stiffness 🔩.
With the right technique, intramedullary nail fixation can successfully treat extraarticular and simple intraarticular distal tibial fractures while minimizing complications. #tibial #brokenleg
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distal tibial fractures; closed reduction; suprapatellar nail fixation; intramedullary nail; wound complications; fibular fixation; malunion; interlocking screws; cartilage injury; knee pain; postoperative protocol; weight-bearing; physical therapy; orthopedic procedures; advancements.
