Case: We describe a case of a 28-year-old woman who presented with a left closed, displaced distal tibia and fibula fracture and underwent closed reduction with retrograde intramedullary osteosynthesis.
Conclusion: This case report highlights that retrograde tibial nailing is technically possible and produced good results. Currently, it requires off label use of a nail designed for antegrade insertion using custom insertion and bending techniques. Retrograde tibial nailing is a reasonable alternative when a standard antegrade technique may not be possible or desirable. If further cases of this technique yield similarly good outcomes, it may be valuable to create a commercially available retrograde tibial implant.
Keywords: adult; female; retrograde nailing; retrograde tibial nail; tibial shaft fracture.
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