title: Intramedullary nail fixation of fibular fractures associated with tibial shaft and pilon fractures.
abstract: Treatment of distal tibial fractures is technically challenging. The purpose of this study was to evaluate the use of distally locked retrograde Ender nail fixation of axially stable fibular fractures associated with these distal tibia fractures. During a 4-year span, we treated 23 fibular fractures, associated with either distal tibial metaphyseal or articular fractures, with a retrograde 3.5-mm Ender nail. The surgical protocol along with radiographic and clinical outcomes is presented. Using this technique, we have achieved excellent fibular union with minimal complications.
authors.affiliation: Department of Orthopaedic Surgery, University of Tennessee, Chattanooga, TN, USA. orthotraumamd@hotmail.com
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Stewart
authors.forename: Dirk
authors.initials: D
authors.lastname: Kiner
authors.forename: Peter
authors.initials: P
authors.lastname: Nowotarski
mesh_terms: D000328:Adult; D000368:Aged; D016512:Ankle Injuries; D005260:Female; D005360:Fibula / Q000293:injuries / Q000601:surgery*; D005594:Fracture Fixation, Intramedullary; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013978:Tibial Fractures / Q000601:surgery*; D055815:Young Adult