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vol.47 número2Osteossíntese da fratura do colo femoral: dois ou três parafusos?Osteotomias do rádio distal com uso de placa volar de ângulo fixo índice de autoresíndice de assuntospesquisa de artigos
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Revista Brasileira de Ortopedia

versão impressa ISSN 0102-3616


CERQUEIRA, Italo Scanavini et al. Anatomical study on the lateral suprapatellar access route for locked intramedullary nails in tibial fractures. Rev. bras. ortop. [online]. 2012, vol.47, n.2, pp.169-172. ISSN 0102-3616.

OBJECTIVE: Intramedullary nails are the gold standard for treating tibial shaft fractures. Knee pain is a frequent complication after the procedure. Alternative routes such as the suprapatellar approach for nail insertion are seen as an option for avoiding late postoperative knee pain. The question is whether this approach might give rise to any injury to intra-articular structures of the knee. METHODS: This study analyzed the suprapatellar approach and the risk to adjacent structures by reproducing it in 10 knees of five cadavers. RESULTS: This approach was seen to make it easy to locate the entry point, with lesions only occurring in the Hoffa fat. In three of our cases, there were lesions of the chondral surface, which is an obstacle that is difficult to overcome. CONCLUSION: There is a need to develop specific material to minimize injury to intra-articular structures when using this route.

Palavras-chave : Tibial Fractures; Orthopedic Procedures; Fracture Fixation; Intramedullary.

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