Semiextended Intramedullary Nailing of the Tibia Using a Suprapatellar Approach

Sanders, Roy; DiPasquale, Thomas; Jordan, Charles J.; Arrington, John A.; Sagi, H. Claude

doi:10.1097/bot.0000000000000082

Cited by 99 publications

(59 citation statements)

References 20 publications

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“…However, the authors reported that there was trend toward greater symptomatic knee pain in the infrapatellar group. Furthermore, Sanders et al [ 15 ] reported on 56 consecutive patients undergoing suprapatellar nailing in the semiextended position. These authors did not identify any patients with postoperative anterior knee pain at 12 months follow-up except one patient who presented with peri-incisional pain around the knee [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

“…Nailing in the semiextended position has recently gained significant attention in the orthopaedic literature [ 12 – 15 ]. Nailing in the semiextended position using a medial parapatellar approach has been suggested by Tornetta and Collins as a method to avoid apex anterior deformities [ 16 ].…”

Section: Surgical Considerationsmentioning

confidence: 99%

“…Nailing in the semiextended position using a medial parapatellar approach has been suggested by Tornetta and Collins as a method to avoid apex anterior deformities [ 16 ]. Recent reports have adopted this concept suggesting tibial nailing in the semiextended position using a suprapatellar portal and nail insertion through the patellofemoral joint [ 14 , 15 ]. Over the last years, surgical instrumentation has been developed for this technique in order to allow the procedure to be performed in a safe fashion and with minimal damage to the adjacent intraarticular structures.…”

Section: Surgical Considerationsmentioning

confidence: 99%

“…However, the authors also reported that the observed peak pressures were well below the threshold that has been reported to be detrimental to articular cartilage and they concluded that suprapatellar nailing in the semiextended position represents a safe surgical technique [ 13 ]. In a prospective clinical study including 56 patients undergoing suprapatellar tibial nailing in the semiextended position, Sanders et al [ 15 ] did not identify any significant sequelae affecting the patellofemoral cartilage as per Magnetic Resonance Imaging and arthroscopic follow-up evaluations. Interestingly, no patient in this series complained of anterior knee pain at the 12 months follow-up.…”

Section: Surgical Considerationsmentioning

confidence: 99%

See 3 more Smart Citations

Safe surgical technique: intramedullary nail fixation of tibial shaft fractures

Zelle

Boni

2015

Patient Saf Surg

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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 fracture alignment and the treating surgeon should be familiar with these maneuvers. Open reduction techniques should be considered if anatomic fracture alignment cannot be achieved by closed means. Favorable union rates above 90 % can be achieved by both reamed and unreamed intramedullary nailing. Despite favorable union rates, patients continue to have functional long-term impairments. In particular, anterior knee pain remains a common complaint following intramedullary tibial nailing. Malrotation remains a commonly reported complication after tibial nailing. The effect of postoperative tibial malalignment on the clinical and radiographic outcome requires further investigation.

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Section: Discussionmentioning

confidence: 99%

Section: Surgical Considerationsmentioning

confidence: 99%

Section: Surgical Considerationsmentioning

confidence: 99%

Section: Surgical Considerationsmentioning

confidence: 99%

See 2 more Smart Citations

Safe surgical technique: intramedullary nail fixation of tibial shaft fractures

Zelle

Boni

2015

Patient Saf Surg

View full text Add to dashboard Cite

show abstract

“…However, it is possible that fibula fracture may not occur with tibia fracture in lowenergy injury. [1,2] Fixation of the accompanying fibula fracture for stability is still a matter of debate in the surgical treatment of tibia fracture. While some authors advocate fixing fibula fracture during surgical treatment of tibia fracture, others suggest that this fixation does not have beneficial effect on stability.…”

Section: Introductionmentioning

confidence: 99%