Tibial interlocking intramedullary nail(Suprapatellar), for Simple and Complex Fractures
The Tibial Interlocking Intramedullary Nail with a Suprapatellar approach is a surgical technique employed in orthopedics for the treatment of tibial fractures.
Here are key points of Tibial interlocking intramedullary nail(Suprapatellar):
1. Implant Type: The Tibial Interlocking Intramedullary Nail is an orthopedic implant designed to stabilize and promote healing in tibial fractures. It is inserted into the medullary canal of the tibia and provides internal fixation.
2. Suprapatellar Approach: The term "Suprapatellar" refers to the surgical approach used to insert the intramedullary nail. Instead of a standard infrapatellar approach (below the patella), a suprapatellar approach involves making an incision above the patella to access the proximal part of the tibia.
3. Incision Location: The incision made above the patella allows the surgeon to access the knee joint and tibial plateau, facilitating the insertion of the intramedullary nail into the proximal part of the tibia.
4. Advantages of Suprapatellar Approach:
- Improved visualization: The suprapatellar approach provides better visualization of the knee joint and proximal tibia.
- Easier access to certain fractures: This approach may be preferred in specific types of tibial fractures or cases where optimal alignment and reduction are crucial.
5. Surgical Technique:
- The patient is positioned supine, and the knee is flexed to expose the proximal tibia.
- An incision is made above the patella to access the knee joint and tibial plateau.
- The surgeon then navigates through the medullary canal of the tibia to insert the interlocking intramedullary nail.
- Locking screws are used to secure the nail in place, providing stability to the fracture.
6. Clinical Applications: This technique is commonly employed in the treatment of certain tibial fractures, particularly those involving the proximal part of tibia.
Indications:
The Tibial Nailing System is indicated for:
• Open or closed shaft fractures with a very proximal and very distal extent in which locking screw fixation can be obtained
• Multi-fragment fractures
• Segmental fractures
• Proximal or distal non-unions
• Proximal or distal mal-unions
• Pseudarthrosis
• Corrective osteotomies
• Pathologic and impending pathologic fractures
• Tumor resections
• Comminuted fractures with or without bone loss
• Primary ankle arthrodesis.
Specifications（mm）
Diameters: Ф8.5 / Ф9.0 / Ф10
Length: 260/280/300/320/340/360/380
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