Flexible IM Nailing for Pediatric Tibial Fractures: Pearls and Pitfalls

Maureen Leahy

Most tibial fractures in children can be successfully treated with closed reduction and cast immobilization. Surgery is indicated, however, when the fracture is irreducible, unstable, open with soft tissue injury, or associated with multiple injuries, according to Martin J. Herman, MD, of St. Christopher’s Hospital for Children in Philadelphia.

Surgical options include percutaneous pinning, external fixation, plating, and increasingly, flexible intramedullary (IM) nailing.

This content is only available to members of the AAOS.

Please log in using the link at the top right corner of this page to access your exclusive AAOS member content.

Not a member? Become a member!