Changing practice patterns: flexed versus semi-extended positioning for tibial nailing

Background: Recent studies have demonstrated several benefits to semi-extended leg position for intramedullary nailing (IMN) without increased complications. The purpose of this study was to evaluate how surgeon preference for flexed versus semi-extended positioning has changed over time. Methods: We distributed an anonymous online survey to orthopaedic surgeons via the Orthopaedic Trauma Association (OTA) website. We compared surgeon demographics and preferred leg positioning for tibial nailing. Results: Twenty-seven percent of surgeons reported substantial experience (>50% of cases) with semi-extended positioning during training, while 49% of surgeons preferred semi-extended nailing in current practice (P
Source: Current Orthopaedic Practice - Category: Orthopaedics Tags: Original Research Source Type: research