Clinical Outcome of Tibia Intramedullary Nailing Using Suprapatellar Portal

Abstract

Background : Suprapatellar tibial nailing in the semiextended position has emerged as a safe and effective surgical technique that allows overcoming certain challenges faced with other infrapatellar and parapatellar approaches. Method: This prospective study was carried out on 34 patients who sustained extraarticlar tibial fracture. Intramedullary tibial nailing via suprapatellar approach was accomplished. Results were evaluated using the Johner and Wruh's Criteria which includes both the clinical and the radiological assessment of the patient. Result: 30 patients were followed up upto 6 months. Excellent results in accordance with Johner and Wruh's Criteria were seen in 7 patients. Good results were seen in 20 patients. One patient had varus angulation more than 50. None of the patient developed nonunion or osteomyelitis. Conclusion: Intramedullary tibia nailing via suprapatellar approach is an efficient and convenient treatment for selected tibial fractures, with less postoperative knee joint pain, fewer postoperative complications and early functional recovery.