Lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach

Abstract Background The conventional infrapatellar approach to intramedullary nailing of tibial fractures adopts the supine high-flexion knee position. However, this has disadvantages including difficulty in obtaining proximal anteroposterior view during intraoperative fluoroscopy, prolonged duration fluoroscopy. Accordingly, present study investigated utility lateral position shaft fractures. Methods was a retrospective analysis 112 patients who sustained closed and treated with via approach. Patients were divided into two groups according surgical position: or supine. demographic clinical data collected analyzed. Results There 54 58 groups. surgery fluoroscopy shorter group than ( p < 0.05). Blood loss lower compared malunion rate as 0.05); moreover, fewer assistants needed no significant differences fracture healing time, other complications between > Conclusions more convenient choice for