Extra-Articular Technique for Semiextended Tibial Nailing

@article{Kubiak2010ExtraArticularTF,
  title={Extra-Articular Technique for Semiextended Tibial Nailing},
  author={Erik N. Kubiak and Benjamin J. Widmer and Daniel S. Horwitz},
  journal={Journal of Orthopaedic Trauma},
  year={2010},
  volume={24},
  pages={704-708}
}
Intramedullary nailing is a widely accepted technique for the stabilization of unstable diaphyseal tibia fractures. When this method of stabilization is applied to proximal and distal metadiaphyseal fractures, achieving and maintaining fracture reduction is more difficult. The intramedullary nailing of proximal metadiaphyseal fractures in semiextension has been advocated to make stabilization less difficult. The intra-articular nature of this technique makes it less appealing. We present a… 
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TLDR
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Intramedullary Nailing of Periarticular Fractures.
TLDR
The body of literature on management of periarticular fractures of the lower extremities has expanded in recent years, indicating that intramedullary nailing of distal femur, proximal tibia, and distal tibia fractures may be the preferred method of treatment in some cases.
Semiextending Nailing for Combined Shaft and Ankle Injuries of the Leg
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This review provides a concise update on the tips, tricks, and pearls available in achieving a stable well-aligned construct when definitively treating proximal third tibial shaft fractures via intramedullary nail.
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Intramedullary Nailing of Extraarticular Proximal Tibia Fractures
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Several nailing methods and reduction techniques have been developed to minimize this complication, including the use of a proper starting point and insertion angle, blocking screws, unicortical plates, a universal distractor, and alternative positioning and approaches.
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TLDR
Over a 24 month period, 30 patients with proximal tibia fractures who were reviewed consecutively were treated by nonreamed, statically locked, intramedullary nailing, and the last 25 fractures were nailed using a partial (⅔) medial parapatellar incision while the leg was semiextended.
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