Osteosynthesis and Trauma Care 2002; 10(Suppl 1): S17-S18
DOI: 10.1055/s-2002-33828
© Georg Thieme Verlag Stuttgart · New York

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

G. Gouvas, A. Koukakis, V. Vrangalas, P. Christodoulou, M. Potoupnis, I. Bisbinas, T. Karanassos, G. Koulalis
  • Orthopaedic Department of 424 General Military Hospital, Thessaloniki, Greece, and Orthopaedic Department of Agios Demetrius General Hospital, Thessaloniki, Greece
Further Information

Publication History

Publication Date:
11 September 2002 (online)


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.

G. GouvasM.D. 

Orthopaedic Department of 424 General Military Hospital

54124 Thessaloniki