Ibrahim I, et al. - In this study, the authors investigated the data to analyze the difference between knee pain and function following intramedullary nailing of tibial shaft fractures and surgical technique—specifically with semi-extended nailing vs traditional infrapatellar approaches. They involved level I–level III studies which measured the outcomes of tibial intramedullary nailing using a semi-extended technique. They observed improvement in pain and function with semi-extended nailing in comparison with infrapatellar nailing. Overall, they suggested satisfactory consequences with semi-extended nailing.