Intramedullary Nail for Open Tibial Fracture
Caleb P. Gottlich, MD, MS¹; Michael J. Weaver, MD^2
1Department of Orthopedic Surgery, Texas Tech University Health Science Center
²Brigham and Women’s Hospital

This article describes the stabilization of an open tibia shaft fracture using an intramedullary nail. After copious irrigation and debridement of the fracture site, a transpatellar tendon split is used to expose the nail entry point. This is followed by fracture reduction, sequential reaming, and nail insertion and locking. Finally, the technique for proximal tibia traction pin insertion is demonstrated on the contralateral tibia.