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4Fixation of open fractures

These illustrations show a severe open segmental tibial fracture, in which, short of primary amputation, IMN, using an ...

Intramedullary nailing (IMN) is occasionally chosen as fixation for low-grade femoral, or tibial, diaphyseal open fractures.
These illustrations show a severe open segmental tibial fracture, in which, short of primary amputation, IMN, using an unreamed solid nail, was the only realistic alternative, despite the risks.

If IMN must be delayed (significant wound contamination, etc.), temporary external fixation can be used for preliminary stabilization.