Suprapatellar nailing of tibial fractures: surgical hints
نویسنده
چکیده
Intramedullary nailing of the tibia with suprapatellar entry and semi-extended positioning makes it technically easier to nail the proximal and distal fractures. The purpose of this article was to describe a simple method for suprapatellar nailing (SPN). A step-by-step run through of the surgical technique is described, including positioning of the patient. There are as yet only a few clinical studies that illustrate the complications with this method, and there has been no increased frequency of intraarticular damage. Within the body of the manuscript, information is included about intraarticular damage and comments with references about anterior knee pain.
منابع مشابه
Intramedullary nailing of proximal tibial fractures
can be difficult when using the standard entry portal. We evaluated the suprapatellar portal, using a midline quadriceps tendon incision, to perform intramedullary nailing of the tibia. Seven patients were treated with this adaptation of the standard intramedullary nailing procedure. An arthroscopy was done before and after the nailing procedure. No special equipment was used to perform the int...
متن کاملAdvances in Intramedullary Nailing: Suprapatellar Nailing of Tibial Shaft Fractures in the Semiextended Position.
Reamed locked intramedullary nailing remains the standard treatment for displaced tibial shaft fractures. Supra-patellar tibial nailing in the semiextended position has been suggested as a safe and effective surgical technique that allows mitigating certain challenges of the standard subpatellar approach. Suprapatellar nailing seems to facilitate achieving and maintaining fracture reduction, pa...
متن کاملSafe surgical technique: intramedullary nail fixation of tibial shaft fractures
Statically locked, reamed intramedullary nailing remains the standard treatment for displaced tibial shaft fractures. Establishing an appropriate starting point is a crucial part of the surgical procedure. Recently, suprapatellar nailing in the semi-extended position has been suggested as a safe and effective surgical technique. Numerous reduction techiques are available to achieve an anatomic ...
متن کاملFunctional Knee Outcomes in Suprapatellar and Infrapatellar Tibial Nailing: Does Approach Matter?
Introduction With an incidence of 75,000 per year in the United States alone, fractures of the tibial shaft are among the most common long bone fractures. Techniques using a semi-extended suprapatellar approach can facilitate intraoperative imaging, allow easier access to starting site position and counter deforming forces. While outcomes following traditional infrapatellar nailing have been we...
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A case of an adolescent female patient who suffered from first grade open multi-fragment fracture of the tibia (AO42-C2) with a large hypermobile intermediate fragment is presented in this case report. Intramedullary nailing of the tibia remains the treatment of choice despite a high risk of malformation and anterior knee pain especially in multi-fragment fractures. Here the suprapatellar appro...
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عنوان ژورنال:
دوره 27 شماره
صفحات -
تاریخ انتشار 2016