• Kevin M Kahn and Rodney K Beals.
• Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland 97201, USA.
• J Trauma. 2002 Sep 1; 53 (3): 549-52.

BackgroundMalrotation after interlocked tibial nailing is rarely documented.MethodsWe report the cases of three patients who incurred symptomatic rotational deformities after closed intramedullary nailing for low-energy spiral fractures of the distal third of the tibia.ResultsTwo patients elected surgical correction, with excellent clinical results.ConclusionMalrotation may cause functional deficits, but the long-term consequences of rotational deformities in the tibia have not been thoroughly studied. Malrotation after tibial nailing is probably more common than reported. Intraoperative comparison with the uninjured leg may be the best means available for avoiding this postoperative complication.

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