VIDEO: Suprapatellar technique ‘game changer’ for nailing tibia shaft fractures
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Key takeaways:
- Suprapatellar technique has been a “game changer” for nailing tibia shaft fractures.
- Percutaneous clamp method is biologically friendly, low risk of way of getting fracture reduction.
WAILEA, Hawaii — At Orthopedics Today Hawaii, Cory A. Collinge, MD, shared tips for nailing tibia shaft fractures.
“Suprapatellar technique has probably been accepted for 10 years or so and it has been a game changer,” Collinge said.
Collinge said with the suprapatellar technique, surgeons can nail the leg in a semi-extended position, “which means if you can reduce the fracture and hold it with a clamp, then you can easily get X-ray – get a good AP view and swing it around and get a lateral view. I think that is most of the difficulties with historical nailing in the hyperflex position.”
The other tip Collinge recommended was use of the percutaneous clamp method for nailing tibia shaft fractures. He said it is a simple, biologically friendly, low risk way of getting fracture reduction.
“The leg is basically laying on a leg roll on a table without many hands getting irradiated and knocking clamps off,” he said.
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Collinge CA. Nailing tibia shaft fractures: Five tips in 5 minutes. Presented at: Orthopedics Today Hawaii; Jan. 7-11, 2024; Wailea, Hawaii.
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