Unreamed Nailing for Segmental Tibia Fractures: A Prospective Study

Description: Conclusion: Unreamed nailing is a very effective treatment method for segmental tibia fractures. Based on our experience, secondary procedures should be considered only when there is severe soft tissue injury (compartment syndrome or grade 3B fracture). A lack of "good" callus at three months did not predict the need for secondary procedures unless there was severe soft tissue damage. Early weightbearing can be initiated if there is cortical contact even before good callus is visible without the risk of hardware failure.
OTA paper 1998