A simple cost effective technique for soft tissue protection during intramedullary nailing of the tibia
Alsousou, J.; McDonnell, S.M.; Elo, J.
Acta Orthopaedica Belgica 76(6): 827-829
2010
ISSN/ISBN: 0001-6462 PMID: 21302583 Document Number: 640512
Intramedullary nailing has revolutionized the management of tibial diaphyseal fractures. However, anterior knee pain remains a common complication. Although knee pain causes are still largely unknown, there is evidence to suggest that adhesions resulting from soft tissue damage may contribute to it. We describe a simple cost-effective technique that utilises a syringe to protect the patellar ligament and Hoffa's fat pad during intramedullary nailing of the tibia.