Lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach

The conventional infrapatellar approach to intramedullary nailing of tibial fractures adopts the supine high-flexion knee position. However, this has disadvantages including difficulty in obtaining the proximal tibial anteroposterior view during intraoperative fluoroscopy, prolonged duration of fluo...

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Bibliographic Details
Published in:BMC musculoskeletal disorders 2021-01, Vol.22 (1), p.25-25, Article 25
Main Authors: Zhao, Jinzhu, Qu, Liang, Li, Peng, Tan, Changlong, Tao, Chunsheng
Format: Article
Language:English
Subjects:
Ankle
Bone healing
Bone Nails
Care and treatment
Diaphyses
Fluoroscopy
Fracture Fixation, Intramedullary - adverse effects
Fractures
Humans
Infections
Infrapatellar approach
Injuries
Intramedullary nailing
Knee
Lateral position
Methods
Orthopedic surgery
Patients
Retrospective Studies
Statistical analysis
Surgeons
Surgery
Surgical position
Tibia
Tibial Fractures - diagnostic imaging
Tibial Fractures - surgery
Tibial shaft fracture
Treatment Outcome
X-rays
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Summary:The conventional infrapatellar approach to intramedullary nailing of tibial fractures adopts the supine high-flexion knee position. However, this has disadvantages including difficulty in obtaining the proximal tibial anteroposterior view during intraoperative fluoroscopy, prolonged duration of fluoroscopy. Accordingly, the present study investigated the utility of the lateral position in the infrapatellar approach to intramedullary nailing of tibial shaft fractures. The present study was a retrospective analysis of 112 patients who sustained closed tibial shaft fractures and treated with intramedullary nailing via the infrapatellar approach. Patients were divided into two groups according to surgical position: lateral or supine. The demographic and clinical data were collected and analyzed. There were 54 patients in the lateral and 58 in the supine position groups. The duration of surgery and fluoroscopy was shorter in the lateral group than the supine group (p 
ISSN:1471-2474
1471-2474
DOI:10.1186/s12891-020-03883-1