Care Controversies: Proximal Tibia Fracture in a 29-Year-Old Woman: Locked Lateral Plating Versus Intramedullary Nailing
Authors:
- Zachary A. RockovZRZachary A. Rockov
- Erika RoddyERErika Roddy
- 1 February 2026
- journal article
- Published by Wolters Kluwer Health in Journal of Orthopaedic Trauma
- Vol. 40 (2) , 91-92
Abstract
Clinical Vignette: A 29-year-old woman with no medical history presented after being a pedestrian struck by a motor vehicle. She sustained an APC2 pelvic ring injury, a closed olecranon fracture, and a closed proximal tibia fracture (Fig. 1). Clinical evaluation is notable for significant edema and early serous fracture blister formation overlying the proximal tibia fracture. The patient is neurovascularly intact. Imaging of the tibia demonstrates an extra-articular proximal tibia fracture. The patient underwent application of anterior pelvic external fixation and knee spanning external fixator within 24 hours of arrival.Keywords
This publication has 19 references indexed in Scilit:
- Extra-articular proximal tibia fracture fixation with locked plating versus intramedullary nailing: A meta-analysisInjury, 2024
- Intramedullary nail versus minimally invasive plate osteosynthesis for displaced extraarticular proximal tibia fractures: a prospective comparative cohort studyEuropean Journal of Orthopaedic Surgery & Traumatology, 2023
- Intramedullary nailing via suprapatellar approach versus locked plating of proximal extra-articular tibial fractures: a randomized control trialInternational Orthopaedics, 2020
- Long bone fractures: treatment patterns and factors contributing to use of intramedullary nailingExpert Review of Medical Devices, 2020
- Surgical approaches to intramedullary nailing of the tibia: Comparative analysis of knee pain and functional outcomesInjury, 2016
- The nail-insertion point in unreamed tibial nailing and its influence on the axial malalignment in proximal tibial fracturesArchives of orthopaedic and trauma surgery, 2001
- The Mechanical Effect of Blocking Screws ("Poller Screws") in Stabilizing Tibia Fractures With Short Proximal or Distal Fragments After Insertion of Small-Diameter Intramedullary NailsJournal of Orthopaedic Trauma, 1999
- Semiextended Position for Intramedullary Nailing of the Proximal TibiaClinical Orthopaedics and Related Research, 1996
- Radiographic Analysis of Tibial Fracture Malalignment Following Intramedullary NailingClinical Orthopaedics and Related Research, 1995
- Proximal Third Tibial Shaft FracturesClinical Orthopaedics and Related Research, 1995