title: Extra-articular technique for semiextended tibial nailing.
abstract: Intramedullary nailing is a widely accepted technique for the stabilization of unstable diaphyseal tibia fractures. When this method of stabilization is applied to proximal and distal metadiaphyseal fractures, achieving and maintaining fracture reduction is more difficult. The intramedullary nailing of proximal metadiaphyseal fractures in semiextension has been advocated to make stabilization less difficult. The intra-articular nature of this technique makes it less appealing. We present a nailing technique that facilitates extra-articular semiextended tibial nailing. The technique simplifies intraoperative imaging, fracture reduction, and maintenance of reduction during nail insertion and locking.
authors.affiliation: Department of Orthopaedics, University of Utah, Salt Lake City, UT, USA. erik.kubiak@hsc.utah.edu
authors.forename: Erik N
authors.initials: EN
authors.lastname: Kubiak
authors.forename: Benjamin J
authors.initials: BJ
authors.lastname: Widmer
authors.forename: Dan S
authors.initials: DS
authors.lastname: Horwitz
mesh_terms: D000328:Adult; D001858:Bone Nails; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography; D013978:Tibial Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome