... Canada.5Department of Surgery, Faculty of Medicine,University of Toronto, Toronto, ON, Canada.Authors’ contributionsHK, TH, AT, and EHS were involved in developing the initial concept and study design. ... Management of tibial fractures associated with soft tissue injury remains controversial. Previousstudies have assessed perfusion of the fractured tib ia and surrounding soft tissues in the setting of ... form of fixation for most open femoral and tibial shaft frac-tures [1-4]. Nailing allows for maintenance of bonelength and alignment while reducing soft tissue disrup-tion, relative ease of...