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Tibial Nailing with the Knee Semi-Extended: Review of Techniques and IndicationsAAOS Exhibit Selection
David L. Rothberg, MD1; David C. Holt, MD1; Daniel S. Horwitz, MD2; Erik N. Kubiak, MD1
1 Department of Orthopaedics, University of Utah Medical Center, 590 Wakara Way, Salt Lake City, UT 84108. E-mail address for E.N. Kubiak: erik.kubiak@hsc.utah.edu
2 Department of Orthopaedics, Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822
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Investigation performed at the University of Utah, Salt Lake City, Utah

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2013 Aug 21;95(16):e116 1-8. doi: 10.2106/JBJS.L.01223
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Tibial shaft fractures are the most common long bone fractures, with an incidence of approximately twenty-six per 100,000 per year1. Intramedullary nailing has become the preferred treatment for the majority of unstable diaphyseal tibial fractures. A large body of literature documents a high rate of union, acceptable alignment in all planes, and a low complication rate when diaphyseal tibial fractures are treated with intramedullary nailing2,3. Intramedullary nailing is increasingly being applied to a broader range of tibial fracture patterns, including open injuries, proximal and distal metaphyseal fractures, and fractures with intra-articular extension3-6.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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