Primary rigid intramedullary nailing for fractures of the tibia: current concepts and technique

  • James E. ArbuthnotEmail author
  • Anthony Perera
  • David Powers


Intramedullary nailing of tibial shaft fractures is the preferred treatment of many tibial shaft fractures—displaced and undisplaced, open and closed, simple and multi-fragmentary. In this paper we address several important issues relating to the concepts of the procedure and review the literature available: reaming of the intramedullary cavity; the problems of achieving stability with metaphyseal fractures; achieving fracture reduction; the issue of the ideal entry point; the complications that can occur; and the timing of surgery.


Tibia Fracture Nailing 


Conflict of interest statement

No funds were received in support of this study.


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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • James E. Arbuthnot
    • 1
    Email author
  • Anthony Perera
    • 1
  • David Powers
    • 1
  1. 1.Department of Orthopaedics and TraumaUniversity Hospital Coventry and WarwickSolihullUK

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