Intramedullary nailing of tibial shaft fractures in the semi-extended position using a suprapatellar portal technique

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8 Scopus citations

Abstract

Intramedullary nail fixation remains the standard treatment for displaced tibial shaft fractures. Establishing an appropriate starting point remains a crucial step in the surgical procedure. Tibial nailing using an infrapatellar starting point with the knee flexed over a radiolucent triangle has been established as a widely-used standard technique. Tibial nail insertion with the knee in the semi-extended position was introduced with the goal to counteract post-operative procurvatum deformities that frequently have been reported as a common problem in proximal third tibial shaft fractures. Early reports on tibial nailing in the semi-extended position used a knee arthrotomy in order to establish the proximal tibial starting point. Recent technological advances have provided the surgical community with instrumentation systems that allow for tibial nailing in the semi-extended position using a suprapatellar portal with nail insertion through the patellofemoral joint. Preliminary clinical studies have suggested favorable outcomes that can be achieved with this technique. This article provides a description of the surgical technique and a review of the currently available evidence.

Original languageEnglish (US)
Pages (from-to)1-6
Number of pages6
JournalInternational Orthopaedics
DOIs
StateAccepted/In press - Mar 30 2017

Keywords

  • Diaphysis
  • Fracture
  • Nail
  • Tibia

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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