Plate Fixation for Management of Non United Tibial Fractures Previously Fixed with Locked Intramedullary Nail

摘要

Introduction: Tibial nonunion after locked intramedullary fixation is uncommon but if occurred there is much controversy about its management. Patients and methods: Twenty-one cases were managed by augmentation plating. Additional procedures as bone grafting and fibular osteotomy were done in some cases. Results: Union was achieved in 100% of cases with no serious complications reported Conclusion: This method is more reliable than other methods in treatment of tibial non union after locked intramedullary nail fixation in certain situations.