Abstract

1. Abstract
1.1. Introduction
Intramedullary nailing (IMN) is the gold standard of treating femoral and tibial shaft fracture with excellent healing rates in most cases. However, as indications for nailing expand and the mechanism of trauma tends to be more severe, more nonunion cases are encountered. Many methods for treating these challenging cases were described including exchange nailing, conversion to plating and external fixation. In cases were stability is an issue, addition of a plate with retention of nail is a valid option. We present our initial experience with this technique.