title: Orthopaedic surgeon's nightmare: iatrogenic fractures of talus and medial malleolus following tibial nailing.
abstract: Intramedullary interlocking nailing is the gold standard for treatment of tibial shaft fractures. The growing use of intramedullary nailing has resulted in an increased number of tibial nailing in daily clinical practice. Despite adequate surgeon experience, tibial nailing is not without complications if proper techniques are not followed. A case of iatrogenic talar neck and medial malleolus fractures during intramedullary nailing of tibia in a 24-year-old male is reported. It is believed to be caused by forceful hammering of insertion zig with foot dorsiflexed. To the best of our knowledge, no such case has been reported in the literature. It is possible to reduce the risk of this complication by adoption of preventive measures.
authors.affiliation: Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), Ansari Nagar, New Delhi 110029, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Meena
authors.forename: Vivek
authors.initials: V
authors.lastname: Trikha
authors.forename: Pramod
authors.initials: P
authors.lastname: Saini
authors.forename: Rakesh
authors.initials: R
authors.lastname: Kumar
authors.forename: Buddhadev
authors.initials: B
authors.lastname: Chowdhary
mesh_terms: D064386:Ankle Fractures; D001858:Bone Nails / Q000009:adverse effects*; D005264:Femoral Fractures / Q000601:surgery; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects* / Q000295:instrumentation; D050723:Fractures, Bone / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D013628:Talus / Q000293:injuries*; D013978:Tibial Fractures / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D055815:Young Adult