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To assess the clinical outcome of unreamed. intramedullary interlocking nailing in open fractures. of tibia, and to evaluate the incidence of complications. in these open fractures as a result of the unreamed. intramedullary nailing. Methods. Between June 1999 and May 2000, a total of.
Although intramedullary nailing is generally accepted as the standard of care for treating many types of tibial shaft fractures, specific techniques are not without controversy. The point of contention most frequently involves whether the tibia should be reamed before the intramedullary nail is placed.