Intramedullary (IM) nail stabilization has become the gold standard for treating most femoral shaft fractures and a large percentage of tibial shaft fractures. IM nailing can be used in patients with multiple injuries as well as in patients with isolated injuries. With increased usage, the indications for IM stabilization of the lower extremity have expanded. These expanded indications include fractures that are proximal and distal to the isthmus as well as some fractures with an intra-articular component. A variety of nail entry portals can be employed for specific scenarios encountered during lower extremity IM nailing.

Download full article PDF below