title: Extending the Indication of Intramedullary Nailing of Tibial Fractures.
abstract: Intramedullary nailing is an effective and well-established method for the treatment of a wide spectrum of tibial fractures. Nevertheless, the handling of metaphyseal and open fracture remains challenging. Surgical and technical advancements have opened up new possibilities to broaden the indication of intramedullary nailing in these areas.
authors.affiliation: Department of Trauma Surgery, University Hospital of the Johannes Gutenberg University of Mainz, Mainz, Germany. kuhn@unfall.klinik.uni-mainz.de.|Department of Trauma Surgery, University Hospital of the Johannes Gutenberg University of Mainz, Langenbeckstrasse 1, 55101, Mainz, Germany. kuhn@unfall.klinik.uni-mainz.de.
authors.forename: Sebastian
authors.initials: S
authors.lastname: Kuhn
authors.affiliation: Department of Trauma Surgery, Hand, and Reconstructive Surgery, Academic Teaching Hospital of the University Mainz, Worms, Germany.
authors.forename: Matthias
authors.initials: M
authors.lastname: Hansen
authors.affiliation: Department of Trauma Surgery, University Hospital of the Johannes Gutenberg University of Mainz, Mainz, Germany.
authors.forename: Pol M
authors.initials: PM
authors.lastname: Rommens
keywords: Intramedullary nailing; Metaphyseal tibial segments; Multidirectional interlocking screws; Open fractures; Tibial fracture