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Abstract The tibia is an exposed bone with vulnerable soft tissue coverage and is therefore predisposed to local soft tissue problems and delayed bone healing. The objective in tibial fracture treatment is to achieve stable fixation patterns with a minimum of soft-tissue affection. The risk of soft tissue breakdown and bone healing complications is more likely related to open reduction and plating. Intramedullary nailing is an effective and well-established method for the treatment of a wide spectrum of tibial fractures |