Method for percutaneous intramedullary nailing of tibial shaft fractures

摘要

A method for percutaneous intramedullary nailing of tibial shaft fractures, intended to prevent anterior knee pain, comprising: placing a patient having at least one injured leg (1) in a supine position on a traction table; adjusting the leg so that the knee joint is flexed to approximately 90° at a joint line (J); preparing and draping the leg; making an incision (6, 6′) adjacently to the patella (4); creating a tunnel behind a patellar tendon of the injured leg, by means of a first tool, in a direction towards a tibial cortex of a tibia of the injured leg; penetrating the tibial cortex with a second tool; penetrating through the tibial cortex further into a medullary channel of the tibia (2) with a third tool; inserting an intramedullary nail into the medullary channel through the incision (6, 6′), wherein the incision (6, 6′) is made medially or laterally to the patella (4) and perpendicularly to the joint line (J).