Ilizarov external fixation salvage of failed intramedullary fixation of tibia with nail retention
Taylor, K.F.; McHale, K.A.
American Journal of Orthopedics 33(9): 461-467
2004
ISSN/ISBN: 1078-4519 PMID: 15509112 Document Number: 582457
Failure of intramedullary fixation of the tibia presents a unique problem, as improving fracture alignment is often difficult after nail placement. The purpose of this study was to demonstrate the effectiveness of the Ilizarov technique in obtaining anatomic union after failed intramedullary fixation of the tibia. We reviewed medical records and plain radiographs of 4 men who, at a tertiary-care facility, presented with failed intramedullary fixation of the tibia. Mean age was 28 years (range, 23-36 years). All 4 patients underwent reduction and external fixation by the llizarov technique with retention of the intramedullary nail. Anatomic union was attained in each case. Thin-wire circular-frame external fixation by the Ilizarov technique was a viable salvage option for failed intramedullary fixation of the tibia.