Manoeuvring distal tibial shaft fractures with Ender's nailing: Case series

Fractures of the tibial shaft are the most common fractures to occur in the human body. Number of motor vehicle high-velocity injuries has increased in recent years. Various modalities used for treatment range from immobilization with the cast to open reduction and plating, closed reduction and nailing, and external fixator application. In our study, we have preferred fixation with multiple Ender's nails in a series of three cases with different modes of injury. We found that closed reduction along with internal fixation with Ender's nailing is a better modality in terms of easy technique, cost-effectiveness, small incision size, no soft-tissue damage or stripping, and complication. Ender's nailing is an excellent alternative.