Technical Trick“Nailable” External Fixation of the Tibia: A Novel Technique to Accommodate Delayed Intramedullary Nailing of the TibiaSavage-Elliott, Ian MDa; Wu, Victor J. MDa; Nguyen, Lan N. DOb; Martin, Murphy P. MDa; Gladden, Paul B. MDaAuthor Information aDepartment of Orthopaedic Surgery, Tulane University School of Medicine, New Orleans, LA; and bSharp Health, Orthopedic Medical Group of San Diego, San Diego, CA. Reprints: Ian Savage-Elliott, MD, Department of Orthopedic Surgery, Tulane University School of Medicine, 1430 Tulane Ave, New Orleans, LA 70112 (e-mail: [email protected]). The authors report no conflict of interest. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.jorthotrauma.com). Journal of Orthopaedic Trauma: November 2020 - Volume 34 - Issue 11 - p e430-e433 doi: 10.1097/BOT.0000000000001768 Buy SDC Metrics Abstract Summary: External fixation is often used for temporary stabilization of the tibia in several clinical scenarios. Conventional placement of external fixation pins may impede instrumentation with intramedullary nailing, thus requiring pin removal, loss of reduction, and increased operative time during definite fixation. In this article, we describe a strategic pin placement routinely used at our institution in which we create a medially based inverted triangular construct that allows for pins to remain in place during definitive fixation. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.