Locking Compression Plate as a Reduction Tool in Tibial Shaft Nailing for Diaphyseal Segmental Bone Defects: Technical Considerations

The management of segmental bone defects of the tibial shaft remains a challenging endeavor for orthopedic surgeons. These defects are usually the result of high energy fractures and are frequently associated with high nonunion and infection rates. Achieving appropriate alignment during intramedullary nailing is crucial and often presents technical hurdles. The scope of this paper is to describe and discuss the intraoperative use of a provisional locking plate in achieving satisfactory reduction in the setting of a large tibial shaft bone defect. This technique presents distinct advantages for these challenging cases, including ease of application, satisfactory reduction, intraoperative stability and cost-effectiveness.