Research progress of suprapatellar vs. infrapatellar approaches in tibial intramedullary nailing for tibial fractures
10.3760/cma.j.cn431274-20241112-01689
- VernacularTitle:髌上与髌下入路胫骨髓内钉治疗胫骨骨折的研究进展
- Author:
Jiamu XU
1
;
Chunqing WANG
Author Information
1. 贵州医科大学临床医学院，贵阳 550000
- Publication Type:Journal Article
- Keywords:
Tibial fractures;
Intramedullary fixation;
Surgical approach
- From:
Journal of Chinese Physician
2025;27(11):1741-1746
- CountryChina
- Language:Chinese
-
Abstract:
Tibial shaft fractures are clinically common, mostly caused by traffic accidents, heavy object impacts, and other injuries. Treatment methods include open reduction and internal fixation, minimally invasive plate osteosynthesis, external fixators, and intramedullary nails. Among these, intramedullary fixation is the gold standard, as it can protect soft tissues and blood supply. Traditional intramedullary nails are inserted through an infrapatellar incision at the anterior knee, which has shortcomings such as the need for knee flexion during operation and difficulty in reduction. In recent years, suprapatellar approach nail placement in the semi-extended knee position has been widely applied. This review focuses on recent studies, comparing the suprapatellar and infrapatellar approaches of tibial intramedullary nailing for tibial fractures in terms of surgical operation, therapeutic efficacy, and complications. It aims to provide literature support for clinical decision-making and help doctors better select appropriate treatment plans.
