Grade II open fracture in 7-year-old boy. A and B, Postoperative anteroposterior and lateral radiographs of tibia and fibula. (From O’Brien T, Weisman DS, Ronchetti P, et al: Flexible titanium nailing for the treatment of the unstable pediatric tibial fracture, J Pediatr Orthop 24:601, 2004.) SEE TECHNIQUE 36.39.