Open AccessSuprapatellar intramedullary nailing of the tibia
Author(s) -
Enzo Sperone,
Matías Iglesias,
Andrés Bigatti,
Iván Torterola,
Yanser Atilmis,
Alberto Macklin Vadell
Publication year - 2020
Publication title -
jornal of the foot and ankle
Language(s) - English
Resource type - Journals
ISSN - 2675-2980
DOI - 10.30795/jfootankle.2020.v14.1175
Subject(s) - intramedullary rod , medicine , surgery , tibia , fixation (population genetics) , knee pain , osteosynthesis , soft tissue , visual analogue scale , osteoarthritis , population , alternative medicine , environmental health , pathology
Objective: To report our experience with intramedullary fixation and osteosynthesis of the tibia with suprapatellar approach and semiextended positioning. Methods: This study retrospectively assessed 6 patients with tibial fracture treated with suprapatellar intramedullary nail fixation and osteosynthesis from September 2015 to September 2018. Results: There was acceptable bone fixation. Mean healing time was 6 months (range: 4-10 months). Postoperative pain was assessed using a visual analog scale, and the knee was divided into 9 quadrants to help locate the specific site of pain; all participants reported that pain was located at distal quadrants. Knee function was completely restored. Conclusion: Suprapatellar approach with the knee in the semiextended position is a good surgical technique for extra-articular proximal tibial fractures or those associated with soft tissue involvement at the conventional infrapatellar entry site. Thus, this analysis led us to believe that the technique should also be applicable to middle diaphyseal fractures or fractures in general, regardless of their location. Level of Evidence IV, Therapeutic Studies; Case Series.