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Introduction
Tibial fracture is one of the most common long bone fractures in the body. Tibial fractures typically require surgical intervention as the risk of non union and non union is high. Intramedullary nail has become the standard for treating tibial fractures due to their many advantages, including improved stability and faster healing time. The suprapatellar approach tibial interlocking nail is a popular orthopedic implant for tibial fractures internal fixation in recent years.
Indications
The suprapatellar approach tibial nail is suitable for the treatment of various tibial fractures, including the third distal tibial fracture, proximal tibial fracture, tibial shaft fracture, oblique fracture, spiral fracture, comminuted fracture, and fractures with obvious cortical defects.
Advantage
1. The suprapatellar approach can better display the fracture site, thereby improving fracture reduction.
2. Reduce blood loss. The suprapatellar approach can reduce soft tissue dissection and minimize blood loss during surgery.
3. Reduce the risk of infection. The suprapatellar approach reduces the risk of infection by avoiding the knee joint, which is a potential source of infection.
4. Reducing the risk of patellar tendon injury, the suprapatellar approach avoids the patellar tendon and reduces the risk of injury to this important structure.
5. Faster recovery, compared to patients undergoing other surgical techniques, patients undergoing suprapatellar tibial nail surgery often recover faster and reduce hospitalization time.
Surgical steps for tibial screws through the suprapatellar approach
1. Usually performed under general anesthesia, the patient is supine on the operating table, with the affected leg raised and supported by a stent.
2. Make a small incision on the skin directly above the patella, and insert the guide wire through the skin into the tibial bone marrow canal.
3. Use a reamer to expand the opening for inserting nails.
4. Insert the tibial intramedullary nail through the incision through the suprapatellar approach and guide it into the intramedullary canal using a fluoroscope.
5. Once the nail is in place, insert the locking orthopedic screw through the nail into the bone and secure it in place.
6. Finally, close the incision and use plaster or a bracket to secure the legs.
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Main Product:
Orthopedic Implant,
Orthopedic Instrument ,
Locking Plate,
Orthopedic Power Tools,
Trauma Implant,
External Fixator
