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Lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach
BACKGROUND: The conventional infrapatellar approach to intramedullary nailing of tibial fractures adopts the supine high-flexion knee position. However, this has disadvantages including difficulty in obtaining the proximal tibial anteroposterior view during intraoperative fluoroscopy, prolonged dura...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7786492/ https://www.ncbi.nlm.nih.gov/pubmed/33407332 http://dx.doi.org/10.1186/s12891-020-03883-1 |
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author | Zhao, Jinzhu Qu, Liang Li, Peng Tan, Changlong Tao, Chunsheng |
author_facet | Zhao, Jinzhu Qu, Liang Li, Peng Tan, Changlong Tao, Chunsheng |
author_sort | Zhao, Jinzhu |
collection | PubMed |
description | BACKGROUND: The conventional infrapatellar approach to intramedullary nailing of tibial fractures adopts the supine high-flexion knee position. However, this has disadvantages including difficulty in obtaining the proximal tibial anteroposterior view during intraoperative fluoroscopy, prolonged duration of fluoroscopy. Accordingly, the present study investigated the utility of the lateral position in the infrapatellar approach to intramedullary nailing of tibial shaft fractures. METHODS: The present study was a retrospective analysis of 112 patients who sustained closed tibial shaft fractures and treated with intramedullary nailing via the infrapatellar approach. Patients were divided into two groups according to surgical position: lateral or supine. The demographic and clinical data were collected and analyzed. RESULTS: There were 54 patients in the lateral and 58 in the supine position groups. The duration of surgery and fluoroscopy was shorter in the lateral group than the supine group (p < 0.05). Blood loss during surgery was lower in the lateral compared with supine position group (p < 0.05). The malunion rate was lower in the lateral position group as compared with the supine position group (p < 0.05); moreover, fewer surgical assistants were needed than in the supine group (p < 0.05). There were no significant differences in fracture healing time, other complications between the two groups (p > 0.05). CONCLUSIONS: The lateral position was a more convenient choice for intramedullary nailing of tibial shaft fractures via infrapatellar approach. |
format | Online Article Text |
id | pubmed-7786492 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-77864922021-01-07 Lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach Zhao, Jinzhu Qu, Liang Li, Peng Tan, Changlong Tao, Chunsheng BMC Musculoskelet Disord Research Article BACKGROUND: The conventional infrapatellar approach to intramedullary nailing of tibial fractures adopts the supine high-flexion knee position. However, this has disadvantages including difficulty in obtaining the proximal tibial anteroposterior view during intraoperative fluoroscopy, prolonged duration of fluoroscopy. Accordingly, the present study investigated the utility of the lateral position in the infrapatellar approach to intramedullary nailing of tibial shaft fractures. METHODS: The present study was a retrospective analysis of 112 patients who sustained closed tibial shaft fractures and treated with intramedullary nailing via the infrapatellar approach. Patients were divided into two groups according to surgical position: lateral or supine. The demographic and clinical data were collected and analyzed. RESULTS: There were 54 patients in the lateral and 58 in the supine position groups. The duration of surgery and fluoroscopy was shorter in the lateral group than the supine group (p < 0.05). Blood loss during surgery was lower in the lateral compared with supine position group (p < 0.05). The malunion rate was lower in the lateral position group as compared with the supine position group (p < 0.05); moreover, fewer surgical assistants were needed than in the supine group (p < 0.05). There were no significant differences in fracture healing time, other complications between the two groups (p > 0.05). CONCLUSIONS: The lateral position was a more convenient choice for intramedullary nailing of tibial shaft fractures via infrapatellar approach. BioMed Central 2021-01-06 /pmc/articles/PMC7786492/ /pubmed/33407332 http://dx.doi.org/10.1186/s12891-020-03883-1 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Zhao, Jinzhu Qu, Liang Li, Peng Tan, Changlong Tao, Chunsheng Lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach |
title | Lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach |
title_full | Lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach |
title_fullStr | Lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach |
title_full_unstemmed | Lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach |
title_short | Lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach |
title_sort | lateral position: a friendly surgical position for intramedullary nailing of tibial shaft fractures via infrapatellar approach |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7786492/ https://www.ncbi.nlm.nih.gov/pubmed/33407332 http://dx.doi.org/10.1186/s12891-020-03883-1 |
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