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1Principles

Nail types

Available tibial nails

Currently available tibial nails have locking screw holes close to both ends, in multiple orientations, for better fixation of proximal and distal fractures. The nails may be either solid or cannulated (hollow). Solid nails may protect somewhat against infection because they have no internal dead space.

The surgeon should be familiar with the nails available in his/her institution, particularly the available sizes. Instrumentation and details of technique vary among nail systems. This should be considered in preoperative planning and surgery.