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Transpatellar access for intramedullary stabilisation of the tibia
1Traumatologie de Centre Hospitalier de Luxembourg 4, rue Barblé, L-1410 Luxembourg. Gerich.torsten@chl.lu
Bulletin De La Societe Des Sciences Medicales Du Grand-Duche De Luxembourg
|February 1, 2013
Summary
For knee deformities hindering standard surgical access, a novel patella osteotomy and transpatellar approach offers a viable alternative for tibial intramedullary stabilization. This technique addresses rare but challenging cases, improving treatment options.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Biomechanics
Background:
- Standard surgical approaches for tibial intramedullary stabilization, such as the parapetallar and suprapatellar methods, can be compromised by postoperative knee deformities.
- Intraarticular knee surgery sequelae can significantly alter knee joint anatomy, presenting challenges for tibial fracture fixation.
Observation:
- Postoperative knee deformities and post-surgical changes can obstruct traditional surgical corridors for tibial intramedullary nailing.
- In rare instances, both the standard parapetallar and the alternative suprapatellar approaches become impossible due to these knee alterations.
Findings:
- A modified surgical technique involving patella osteotomy and a transpatellar approach is described for tibial intramedullary stabilization.
- This approach provides an alternative when standard and suprapatellar routes are contraindicated due to knee joint pathology.
Implications:
- This technique expands the armamentarium for managing complex tibial fractures in patients with significant knee joint compromise.
- It offers a solution for previously untreatable cases, potentially improving outcomes for tibial stabilization in challenging knee conditions.
