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Implantology of Fractures of the Shaft of the Tibia Including Segmental Fractures

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  • First Online:
Handbook of Orthopaedic Trauma Implantology

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Abstract

Nowadays closed interlocking nailing is the gold standard of treatment in tibial shaft fractures. This includes segmental fractures. There are many types of tibial nailing possible – including those inserted by the infrapatellar and by the suprapatellar approaches. Various nails have different Herzog angles. Some have multidirectional locking options in the distal and proximal ends (such as the Synthes Expert Tibial Nail). However, conservative treatment and plating still have a limited role in certain cases such as fractures in the young and where there is relatively less displacement. External fixation has a limited role and is used when there is significant soft tissue compromise or in open fractures. Nailing is superior to other techniques due to better patient satisfaction, less time off work, and lower knee stiffness.

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Author information

Authors and Affiliations

  1. Niramaya: Jha’s Superspeciality Centre for Orthopaedics, Dumdum, Kolkata, West Bengal, India

    Amrish Kumar Jha

Authors
  1. Amrish Kumar Jha
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Editor information

Editors and Affiliations

  1. Orthopaedic Surgery, NH Narayana Superspeciality and Multispeciality Hospitals, Howrah, West Bengal, India

    Arindam Banerjee

  2. Technical University of Munich, Munich, Germany

    Peter Biberthaler

  3. Sri Lakshmi Narayana Institute of Medical Sciences, Puducherry, India

    Saseendar Shanmugasundaram

Section Editor information

  1. Columbia Asia Hospital, Kolkata, West Bengal, India

    Saumitra Misra

  2. Columbia Asia Hospital, Kolkata, West Bengal, India

    Rajiv Chatterjee

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Jha, A.K. (2023). Implantology of Fractures of the Shaft of the Tibia Including Segmental Fractures. In: Banerjee, A., Biberthaler, P., Shanmugasundaram, S. (eds) Handbook of Orthopaedic Trauma Implantology. Springer, Singapore. https://doi.org/10.1007/978-981-15-6278-5_83-1

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  • DOI: https://doi.org/10.1007/978-981-15-6278-5_83-1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-6278-5

  • Online ISBN: 978-981-15-6278-5

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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