Esmarch technique for maintaining reduction during intramedullary nailing of tibial shaft fractures

Given the frequency of tibial shaft fractures that undergo intramedullary fixation, the aim of this case report is to demonstrate an easily reproducible technique for fracture reduction maintenance intra-operatively using a non-invasive technique. Our technique utilizes an Esmarch bandage applied in specific fashion particularly as a means of maintaining fracture reduction during reaming and insertion of the intramedullary device. When compared to other well-described techniques of tibial shaft fracture reduction and preservation, this method is of minimal insult to soft tissues and without need for additional incisions or implantation of additional devices. Furthermore, this technique is of little cost or increased equipment utilization in the operative environment.