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European Journal of Orthopaedic Surgery & Traumatology

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01-05-2018 | Technical Note • LOWER LIMB - FRACTURES

“Clothesline technique” for proximal tibial shaft fracture fixation using conventional intramedullary nail: a simple, useful, and inexpensive technique to prevent fracture malalignment

Authors: William Dias Belangero, Robinson Esteves Santos Pires, Bruno Livani, Felipe Lins Rossi, Andre Luis Lugnani de Andrade

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 4/2018

Abstract

Treatment of proximal tibial shaft fractures is always challenging. Despite the development of modern techniques, the literature still shows high complication rates, especially regarding proximal fragment malalignment. It is well known that knee position in flexion during tibial nailing is responsible for extension and valgus deformities of the proximal fragment. Unlike in tibial shaft fractures, nails do not reduce proximal tibial fractures due to the medullary canal width. This study aims to describe a simple, useful, and inexpensive technique to prevent valgus and extension deformities when treating proximal tibial fractures using conventional nails: the so-called clothesline technique.

Labronici PJ, Santos Pires RE, Franco JS, Alvachian Fernandes HJ, Dos Reis FB (2011) Recommendations for avoiding knee pain after intramedullary nailing of tibial shaft fractures. Patient Saf Surg 31:1–5

Tornetta P III, Collins E (1996) Semiextended position of intramedullary nailing of the proximal tibia. Clin Orthop Relat Res 328:185–189CrossRef

Nork SE, Barei DP, Schildhauer TA, Agel J, Holt SK, Schrick JL, Sangeorzan BJ (2006) Intramedullary nailing of proximal quarter tibial fractures. J Orthop Trauma 20(8):523–528CrossRefPubMed

Ryan SP, Steen B, Tornetta P III (2014) Semi-extended nailing of metaphyseal tibia fractures: alignment and incidence of postoperative knee pain. J Orthop Trauma 28(5):263–269CrossRefPubMed

Wysocki RW, Kapotas JS, Virkus WW (2009) Intramedullary nailing of proximal and distal one-third tibial shaft fractures with intraoperative two-pin external fixation. J Trauma 66(4):1135–1139CrossRefPubMed

Zelle BA, Boni G (2015) Safe surgical technique: intramedullary nail fixation of tibial shaft fractures. Patient Saf Surg 9(40):1–17

Brink O (2016) Suprapatellar nailing of tibial fractures: surgical hints. Curr Orthop Pract 27(1):107–112CrossRefPubMed

Courtney PM, Boniello A, Donegan D, Ahn J, Mehta S (2015) Functional knee outcomes in infrapatellar and suprapatellar tibial nailing: Does approach matter? Am J Orthop 44(12):E513–E516PubMed

Zelle BA, Boni G, Hak DJ, Stahel PF (2015) Advances in intramedullary nailing: suprapatellar nailing of tibial shaft fractures in the semiextended position. Orthopedics 38(12):751–755CrossRefPubMed

10.

Franke J, Hohendorff B, Alt V, Thormann U, Schnettler R (2016) Suprapatellar nailing of tibial fractures-indications and technique. Injury 47(2):495–501CrossRefPubMed

11.

Tejwani N, Polonet D, Wolinsky PR (2014) Controversies in the intramedullary nailing of proximal and distal tibia fractures. J Am Acad Orthop Surg 22(10):665–673CrossRefPubMed

12.

Sanders RW, DiPasquale TG, Jordan CJ, Arrington JA, Sagi HC (2014) Semiextended intramedullary nailing of the tibia using a suprapatellar approach: radiographic results and clinical outcomes at a minimum of 12 months follow-up. J Orthop Trauma 28(8):S29–S39CrossRefPubMed

13.

Stinner DJ, Mir H (2014) Techniques for intramedullary nailing of proximal tibia fractures. Orthop Clin N Am 45(1):33–45CrossRef

14.

Gaines RJ, Rockwood J, Garland J, Ellingson C, Demaio M (2013) Comparison of insertional trauma between suprapatellar and infrapatellar portals for tibial nailing. Orthopedics 36(9):1155–1158CrossRef

Title: “Clothesline technique” for proximal tibial shaft fracture fixation using conventional intramedullary nail: a simple, useful, and inexpensive technique to prevent fracture malalignment
Authors: William Dias Belangero
Robinson Esteves Santos Pires
Bruno Livani
Felipe Lins Rossi
Andre Luis Lugnani de Andrade
Publication date: 01-05-2018
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 4/2018
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-018-2131-0

At a glance: The STEP trials

Springer Medicine

“Clothesline technique” for proximal tibial shaft fracture fixation using conventional intramedullary nail: a simple, useful, and inexpensive technique to prevent fracture malalignment

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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