Abstract
This article outlines the indications, operative technique, and postoperative care for the unreamed interlocking tibial nail. The primary indication is for compound tibial fractures. The techniques volves the use of a fracture table for optimal C-arm visualization and limb control. The nail is inserted through a proximal portal. Interlocking is performed for rotational and longitudinally unstable fracture patterns. Postoperative care requires close monitoring for healing complications. Removal of locking screws and/or early bone grafting can be required. Implant failure is more likely if delayed healing occurs.
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