The spectrum of intramedullary nailing of the tibia

Intramedullary nailing of the tibia has been used mainly in selected cases of fresh diaphyseal fractures and nonunions. However, with modern variations of the technique, the indications can be expanded considerably. Interlocking nailing has increased the number of fractures suitable for intramedullary fixation. With this technique or with other additional measures, intramedullary fixation can be used after correction osteotomies and for stabilization of metastases and pathologic fractures. When used on correct indications and in the absence of complications, intramedullary nailing is the method of choice for stabilization of the tibia. The advantages are short stay in hospital, short morbidity, early range of motion exercises, and weight-bearing without immobilization in plaster. A prerequisite, however, is that the surgeon be very familiar with the technique, and its indications and complications.