Suprapatellar intramedullary nailing of the tibia

  • Enzo Sperone Sanatorio Finochietto, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
  • Matias Iglesias Sanatorio Finochietto, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
  • Andrés Bigatti Sanatorio Finochietto, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
  • Iván Torterola Sanatorio Finochietto, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
  • Yanser Atilmis Sanatorio Finochietto, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
  • Alberto Macklin Vadell Sanatorio Finochietto, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina
Keywords: Patellofemoral joint/surgery, Tibial Fractures/surgery, Fracture fixation, intramedullary, Treatment outcome

Abstract

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.

Published
30-08-2020
How to Cite
Sperone , E., Iglesias, M., Bigatti, A., Torterola, I., Atilmis, Y., & Macklin Vadell, A. (2020). Suprapatellar intramedullary nailing of the tibia. Journal of the Foot & Ankle, 14(2), 153-157. https://doi.org/10.30795/jfootankle.2020.v14.1175