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Suprapatellar nailing of tibial fractures: surgical hints

Brink, Ole MD, PhD, MPA

doi: 10.1097/BCO.0000000000000308
Innovation in Practice

Intramedullary nailing of the tibia with suprapatellar entry and semi-extended positioning makes it technically easier to nail the proximal and distal fractures. The purpose of this article was to describe a simple method for suprapatellar nailing (SPN). A step-by-step run through of the surgical technique is described, including positioning of the patient. There are as yet only a few clinical studies that illustrate the complications with this method, and there has been no increased frequency of intraarticular damage. Within the body of the manuscript, information is included about intraarticular damage and comments with references about anterior knee pain.

Department of Orthopedic Surgery, Trauma Research Unit, Aarhus University Hospital, Aarhus, Denmark

Financial Disclosures: The author reports no disclosures and no conflicts of interest.

Correspondence to Ole Brink, MD, PhD, MPA, Associate Professor, Consultant Surgeon, Department of Orthopaedic Surgery, Trauma Research Unit, Aarhus University Hospital, Aarhus, Denmark Tel: +45 7846 4540; fax: +45 7846 4549; e-mail:

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