The field of orthopedic trauma surgery has undergone significant transformations, particularly in the management of lower limb fractures. Intramedullary nailing (IMN) has been established as an important technique, favored for its ability to stabilize fractures effectively while allowing for early mobilization. Despite its widespread acceptance, the technique continues to evolve with advancements in implant design and surgical methods, amplifying its benefits while introducing new complexities. Notably, ongoing discussions revolve around optimizing patient outcomes and addressing complications, such as infection and non-union, amidst evolving fracture biology and biomechanics. Current studies focus on refining these approaches while systematically evaluating patient-specific variables that influence treatment success.

This Research Topic aims to delve into the multifaceted goals of refining intramedullary nailing for lower limb fractures. It seeks to explore questions related to the enhancement of implant designs, the refinement of surgical techniques, and the individualization of treatment protocols. Another key objective is to evaluate trends in perioperative management, particularly concerning emerging technologies like computer-assisted navigation and biomaterials, which promise to redefine traditional paradigms. Furthermore, the goal is to foster a comprehensive understanding of long-term outcomes and patient stratification to tailor more precise interventions based on risk profiles and profiles.

We invite comprehensive investigations into advanced intramedullary nailing practices, particularly in realms such as complex lower extremity fracture management through minimally invasive procedures. Topics of interest include but are not limited to:

- Biomechanical innovations for designing IMNs tailored for femoral, tibial, and distal fractures
- Management of intricate cases, including segmental, periprosthetic, and polytrauma-related fractures
- Advances in intraoperative navigational tools and surgical techniques
- Adaptation of IMN strategies for pediatric and geriatric care
- Addressing complications such as infection and non-union, alongside comparative analyses with alternative fixation methods
- Novel strategies in postoperative care, early mobilization, and rehabilitation

Articles for this Research Topic may include original research, systematic reviews, case reports, and clinical perspectives that drive the field toward a future of evidence-based orthopedic care.

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Innovations and Advancements in Intramedullary Nailing for Lower Limb Fracture Management