Tratamiento con clavo endomedular de las fracturas metafisarias proximales y distales de tibia. Abordaje pararrotuliano medial en posición de semiextensión

  • Sebastián Pereira Servicio de Ortopedia y Traumatología, Hospital Sirio Libanés, ECICARO, Ciudad Autónoma de Buenos Aires, Argentina
  • Gabriel Vindver Servicio de Ortopedia y Traumatología, Hospital Sirio Libanés, ECICARO, Ciudad Autónoma de Buenos Aires, Argentina
  • Fernando Bidolegui Servicio de Ortopedia y Traumatología, Hospital Sirio Libanés, ECICARO, Ciudad Autónoma de Buenos Aires, Argentina

Abstract

Objective: To review the results of a series of metaphyseal tibial fractures treated with intramedullary nailing (IMN) in a semi-extended position using a medial parapatellar approach. To report reduction quality, bone consolidation, range of motion (ROM) and postoperative knee pain at final follow-up. Materials and Methods: Twenty-three metaphyseal tibia fractures were treated with IMN. Twelve were distal tibial fractures (AO/OTA 43A), nine were proximal tibial fractures (AO/OTA 41A2/3), and two had segmental tibia fractures (AO/OTA 42C2). The minimum follow-up was 1 year. Results: Radiograph angulation at the fracture site was <5 degrees. All patients achieved bone healing. One patient (AO/OTA 42C2) required plate augmentation and bone autografting. Twenty-one out of 23 patients had knee pain scores of >20 according to the Lysholm scale. Conclusion: The parapatellar approach in a semi-extended position is a safe and useful technique for IMN of metaphyseal tibia fracture with no associated increased postoperative knee pain.

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Published
2020-10-07
How to Cite
Pereira, S., Vindver, G., & Bidolegui, F. (2020). Tratamiento con clavo endomedular de las fracturas metafisarias proximales y distales de tibia. Abordaje pararrotuliano medial en posición de semiextensión . Revista De La Asociación Argentina De Ortopedia Y Traumatología, 85(2). Retrieved from https://raaot.org.ar/index.php/AAOTMAG/article/view/1267
Issue
Vol 85 No 2 (2020)
Section
Clinical Research

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