Suprapatellar nailing of fractures of the tibia.

Suprapatellar nailing of fractures of the tibia.
Oper Orthop Traumatol. 2020 Jan 29;:
Authors: Hessmann MH, Buhl M, Finkemeier C, Khoury A, Mosheiff R, Blauth M
Abstract
OBJECTIVE: Intramedullary nailing of tibia fractures via a suprapatellar, transarticular approach with the knee joint in 20-30° of flexion and the use of specific protection tubes to preserve intra-articular structures.
INDICATIONS: Extra-articular fractures of the proximal tibia; simple and comminuted fractures of the tibia diaphysis; segmental diaphyseal fractures of the tibia; extra-articular fractures of the distal tibia and fractures with simple intra-articular distal extension; floating knee injuries.
CONTRAINDICATIONS: Gustilo grade 3C open fractures of the tibia; severe soft tissue laceration, contamination or infection in the suprapatellar area; ipsilateral knee joint prosthesis; knee arthrodesis; implants blocking the nail entry point.
SURGICAL TECHNIQUE: Via a suprapatellar, transarticular approach an intramedullary tibia nail is inserted after anatomical reposition of the tibial fracture with the knee joint in 20-30° of flexion. Use of specific protection tubes to preserve intra-articular structures. The proximal and distal locking configuration depends upon the specific fracture characteristics.
RESULTS: In all, 61 patients underwent suprapatellar tibia nailing and were under follow-up at least until fracture union. T...

Source: Operative Orthopadie und Traumatologie - January 28, 2020 Category: Orthopaedics Authors: Hessmann MH, Buhl M, Finkemeier C, Khoury A, Mosheiff R, Blauth M Tags: Oper Orthop Traumatol Source Type: research