Abstract

Background Nonunion of the proximal tibia is a relatively rare clinical entity. The clinical series that exist in the literature concerning extra-articular proximal tibia fractures mostly document nonunion rates less than 3 %. Management with intramedullary devices alone often led to malalignment and nonunions. When laterally based plates are used alone, the potential for varus deformity and collapse especially with the use of non-locked implants or medial comminution exists. The purpose of this study was to assess the results of combined intramedullary nailing and minimal proximal tibial plating for non-united extra-articular proximal tibial fractures.

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