Complications and Pitfalls of Intramedullary Nailing of Tibial Fractures. Are they Involved in Bone Healing?

Introduction

The study aims at pinpointing the multiple pitfalls and complications which may take place during the intramedullary nailing of tibial shaft fractures. The majority of them are insignificant and, as the study demonstrates, do not inhibit bone healing. Although intramedullary nailing is a sophisticated technique and needs to be performed by a qualified and experienced surgeon, it is at the same time a technique which “condones” minor mistakes. In combination with a regular and rational postoperative management, intramedullary nailing leads to quite good functional and anatomic results in tibial fractures. However, the surgeon should always be aware of the major complications of the method which may jeopardize fracture healing and threaten the patient’s life.