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Indications
-Tibia Shaft Fracture
-Tibial metaphyseal fracture
-Partial tibial plateau intra-articular fracture
-And intra-articular fractures of the distal tibia
Medical Tips
The difference between surgical incisions
Parapatella approach: Make a surgical incision next to the medial patella, cut the patellar support band, and enter the joint cavity. This surgical approach requires subluxation of the patella.
The suprapatellar approach: also enter the joint space for operation, the surgical incision is located on the patella near the patella, and the intramedullary nail enters between the patella and the internodal groove.
The third surgical approach, similar to the first, the incision can be on the inside or outside of the patella, the only difference is that it does not enter the joint cavity.
Infrapatellar approach
It was first proposed in Germany in 1940 and once became the standard surgical procedure for tibial intramedullary nails for tibial fractures.
Its characteristics: minimally invasive, simple method, fast fracture healing, high healing rate, early functional exercise after surgery.
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