Arthroscopically Assisted Suprapatellar Tibial Nail Removal
Coelho, Alexandre (Hospital del Mar (Barcelona, Catalunya))
Sánchez-Soler, Juan Francisco (Institut Hospital del Mar d'Investigacions Mèdiques)
Fernández-Dominguez, Juan Manuel (Complejo Hospitalario Torrecárdenas (Almeria))
Amorim-Barbosa, Tiago (Centro Hospitalar Universitário do Porto)
Torres-Claramunt, Raúl (Institut Hospital del Mar d'Investigacions Mèdiques)
Perelli, Simone (Universitat Autònoma de Barcelona. Departament de Medicina)
Monllau García, Joan Carles (Universitat Autònoma de Barcelona. Departament de Cirurgia)

Date:	2023
Abstract:	Intramedullary nailing remains the most popular and preferred method of fixation for tibial shaft fractures. The infrapatellar approach through the patellar tendon has long been considered the gold standard. However, the suprapatellar approach has gained popularity because of the advantages of being easier to perform when treating proximal shaft and metaphyseal fractures and there being less postoperative anterior knee pain. Despite increased use of this approach, the removal of the implant from the same suprapatellar approach is tricky, and in most cases, the removal is performed through a new transpatellar tendon approach. This article describes arthroscopically assisted suprapatellar tibial nail removal using the same approach and instrumentation of the nail insertion. The technique has the advantage of preserving the patellar tendon without causing secondary damage to it. Through arthroscopy, direct visualization of the patellofemoral joint aids in preventing possible cartilage injury. Moreover, any associated intra-articular lesions can be diagnosed and addressed.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	Arthroscopy Techniques, Vol. 12, Num. 8 (July 2023) , art. e1329, ISSN 2212-6287

DOI: 10.1016/j.eats.2023.03.026
PMID: 37654875

5 p, 964.3 KB

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