An Experience with a Concurrent Bilateral Tibia Interlocking nailing: Its about dancing with the rhythm

Tibial shaft fractures are the most common injuries resulting from high energy trauma such as motor vehicle accident or fall from height. Operative management options of tibia shaft fractures include intramedullary nailing, plating or external fixation or conservative by casting. Interlocking nail of tibia remains favorite among other type of surgical fixation as patient can rehabilitate post op earlier. Interlocking nail of bilateral tibia are usually performed sequentially in view of patient needing to be properly positioned to allow easy entry and reaming of interlocking nail. Hence, this will prolong operative time, thus increasing risk of general anaethesia and surgical site infection. This concurrent bilateral tibia interlocking nail method requires both surgeon and his counterpart to perform surgery synchronizing with each other (counterpart surgeon should be the same stage, a step behind the other). By using this technique, it can reduce operation time by half the time required thus reduce the risk of general anesthesia or surgical site infection.