Fracture of the Tibia in children usually are treated conservatively. Isoelastic intramendullary nails is an excellent method in order to fix the instable fracture of the shaft of the tibia. The method has a low rate of complications and combines the advantages of the closed reduction and internal fixation technique with the conservative method. The technique allows a precocious weight bearing. Our retrospective study consider the clinical and radiological outcome of the tibia fractures fixed with intramedullary nails by Metaizeau. From January 2000 till June 2004 over 150 tibia fracture were observed in our Institution. 14 instable shaft tibia fracture were treated with intramedullary nails. Medium follow up is 33.6 months. Mean Age 11.7 years. All fractures healed in a mean time of 11 weeks. No infection, no damage of the physis or refracture were observed. Metaizeau nails give an elastic but in the same time a stable fixation. This point is very important especially when we have to treat a patient with associated lesions. The technique has a low rate of infections and recurrence.
