title: Advances in Intramedullary Nailing: Suprapatellar Nailing of Tibial Shaft Fractures in the Semiextended Position.
abstract: Reamed locked intramedullary nailing remains the standard treatment for displaced tibial shaft fractures. Supra-patellar tibial nailing in the semiextended position has been suggested as a safe and effective surgical technique that allows mitigating certain challenges of the standard subpatellar approach. Suprapatellar nailing seems to facilitate achieving and maintaining fracture reduction, particularly in proximal third tibia fractures. Preliminary investigations have suggested that this technique is associated with a low rate of complications, including a reduced incidence of postoperative anterior knee pain. Further clinical investigations are necessary to establish overall complication rates and long-term subjective outcomes.
authors.forename: Boris A
authors.initials: BA
authors.lastname: Zelle
authors.forename: Guilherme
authors.initials: G
authors.lastname: Boni
authors.forename: David J
authors.initials: DJ
authors.lastname: Hak
authors.forename: Philip F
authors.initials: PF
authors.lastname: Stahel
mesh_terms: D005594:Fracture Fixation, Intramedullary / Q000379:methods*; D006801:Humans; D063868:Patient Outcome Assessment; D013978:Tibial Fractures / Q000601:surgery*