September 18, 2026 · Journal of pediatric orthopedics · DOI: 10.1097/BPO.0000000000003457

Intramedullary Nailing Following Tibia Lengthening With External Fixator in Fibular Hemimelia Reduces the Risk of Fractures

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The authors aimed to determine whether prophylactic intramedullary nailing following tibial lengthening with an external fixator reduces the risk of fractures in patients with fibular hemimelia. Their study found that no fractures occurred in the group that received intramedullary nailing, while 25% of the non-nailing group experienced fractures, indicating that nailing significantly lowers fracture risk without increasing infection rates.

Milud Shadi, Piotr Janusz, Eliza Kortus, Jedrzej Tschurl, Tomasz Kotwicki

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