Abstract
The treatment of proximal extra-articular tibial fractures can be challenging due to extensive soft tissue damage and the special biomechanical conditions in the proximal tibial region. Different osteosynthetic procedures are available for operative stabilization. Treatment with an external fixator is recommended in particular as an emergency and short-term implant for temporary stabilization of fractures with extensive soft tissue damage. Intramedullary nailing represents a minimally invasive but technically demanding procedure to stabilize proximal tibial fractures. Angularly stable implant systems such as the so-called less invasive stabilization system fulfill the demands of fast implantation, soft tissue protection, and high biomechanical stability. The rate of malalignments and instabilities with delayed healing can be reduced using these new implants.
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