Features & Benefits
|1||1200-1501||Nail Removal M8*1||1|
|3||1200-1503||Distal Aim Stand||1|
|5||1200-1505||Hex Key SW5||1|
|6||1200-1506||Locking Sleeve Φ11/Φ8.6*120||1|
|7||1200-1507||Soft Tissue Divider||1|
|8||1200-1508||Location Rod Sleeve Φ8.1/Φ5.2||1|
|9||1200-1509||Drill Bit Φ5.2||1|
|10||1200-1510||Flat Drill Φ5.2||1|
|15||1200-1515||Nail Pull Connector M8*1||1|
|16||1200-1516||Bolt Universal Screwdriver SW6.5||1|
|20||1200-1520||Connect Bolt Short M8*1/M6/SW6.5||1|
|21||1200-1521||Connect Bolt Screwdriver SW6.5||1|
|22||1200-1522||Connect Bolt Short M8*1/M6/SW6.5||1|
|23||1200-1523||Compression Bolt Φ4/M6/SW6.5||1|
|25||1200-1525||Connect Bolt Long M8*1/M6/SW6.5||1|
|26||1200-1526||Connect Bolt Long M8*1/M6/SW6.5||1|
|27||1200-1527||Compression Bolt Long Φ4/M6/SW6.5||1|
|28||1200-1528||Proximal Flexible Cannulated Drill Φ12.8/Φ3.2||1|
|30||1200-1530||Drill Sleeve Φ8.6/Φ3.2||2|
|31||1200-1531||L Sleeve Φ4.0||1|
|32||1200-1532||Sleeve Pin Φ3.2||1|
|33||1200-1533||Drill Bit Φ3.2*250||3|
|34||1200-1534||Proximal Aim Guider||1|
|36||1200-1536||Block Clamp Measurement||1|
|39||1200-1539||L Sleeve Φ4.0||1|
|40||1200-1540||L Sleeve Φ4.0||1|
|41||1200-1541||Drill Bit Φ4.0*300||3|
|42||1200-1542||Temporary Location Rod||1|
|44||1200-1544||T-handle Screwdriver SW3.5||1|
|46||1200-1546||End Cap Holder SW3.5||1|
|48||1200-1548||Protective Sleeve Φ13*125||1|
|49||1200-1549||Guide Pin Sleeve Φ13/Φ3.2||1|
|50||1200-1550||Canulated AWL Φ9.5/Φ4.0||1|
|51||1200-1551||Proximal Cannulated Drill Φ12.8/Φ3.2||1|
|53||1200-1553||Flexible Reamer Φ9*570||1|
|54||1200-1554||Flexible Reamer Φ10*570||1|
|56||1200-1556||Development Mould Plate||1|
|57||1200-1557||Threaded Guide Pin Φ3.2*300||2|
|58||1200-1558||Olive Guide Wire Measurement||1|
|59||1200-1559||T-handle Quick Coupling||1|
|60||1200-1560||Guide Wire Holder||1|
|61||1200-1561||Flexible Reamer Φ8*570||1|
|62||1200-1562||Flexible Reamer Φ11*570||1|
|63||1200-1563||Flexible Reamer Φ12*570||1|
|64||1200-1564||Threaded Guide Pin Φ3.2*250||2|
If you're involved in orthopedic surgery, you're likely familiar with the concept of tibial intramedullary nailing. This procedure is commonly used to treat fractures of the tibia, one of the two bones in the lower leg. In recent years, the suprapatellar approach to tibial intramedullary nailing has gained popularity as an alternative to traditional approaches.
In this article, we'll explore the suprapatellar approach to tibial intramedullary nailing in detail, including what it is, how it works, and the instrument set required to perform it.
The suprapatellar approach is a relatively new technique for performing tibial intramedullary nailing. Instead of entering the tibia through the traditional anterior or lateral approach, the surgeon makes a small incision just above the patella, or kneecap. This allows them to access the intramedullary canal of the tibia from above, rather than from the front or side.
The suprapatellar approach has several potential advantages over traditional approaches, including improved visualization, decreased soft tissue damage, and reduced risk of injury to important structures like the anterior cruciate ligament (ACL).
To perform the suprapatellar approach to tibial intramedullary nailing, the surgeon makes a small incision just above the patella. They then create a small tunnel through the patellar tendon using a specialized instrument called a patellar awl. Once the tunnel has been created, the surgeon can insert the intramedullary nail into the tibia from above.
One potential benefit of the suprapatellar approach is that it allows the surgeon to avoid the need to flex the knee during the procedure. This can be particularly beneficial in patients with knee injuries or arthritis, who may experience pain or discomfort with knee flexion.
Performing tibial intramedullary nailing using the suprapatellar approach requires a specialized instrument set. Some of the key instruments that may be included in this set include:
The patellar awl is a specialized instrument used to create the tunnel through the patellar tendon during the procedure.
The suprapatellar cannula is a long, thin tube that is inserted into the knee joint through the incision above the patella. This cannula allows the surgeon to visualize the intramedullary canal and insert the nail from above.
The intramedullary nail is the main component of the instrument set. This nail is inserted into the tibia and serves as a stable internal fixation device to help promote healing of the fracture.
The reamer is a specialized instrument used to prepare the intramedullary canal for insertion of the nail.
Locking screws are used to secure the intramedullary nail in place once it has been inserted into the tibia.
There are several potential advantages to using the suprapatellar approach to tibial intramedullary nailing. These include:
The suprapatellar approach allows the surgeon to view the intramedullary canal from above, providing improved visualization compared to traditional approaches. This can help the surgeon to more accurately place the intramedullary nail and avoid damaging important structures.
The suprapatellar approach requires a smaller incision and less dissection of soft tissue compared to traditional approaches. This can help to reduce post-operative pain, swelling, and scarring.
When performing tibial intramedullary nailing through the anterior or lateral approach, there is a risk of injuring the anterior cruciate ligament (ACL). This is because the ACL runs very close to the insertion site of the nail. The suprapatellar approach allows the surgeon to avoid this risk by approaching the tibia from above.
While the suprapatellar approach has several potential advantages, it also has some risks and limitations. These include:
Creating a tunnel through the patellar tendon using a patellar awl can increase the risk of patellar fracture. This risk can be minimized by using a smaller diameter awl and taking care to avoid excessive force during the procedure.
The suprapatellar approach provides less surgical exposure compared to traditional approaches. This can make it more challenging to perform certain aspects of the procedure, such as reaming the intramedullary canal.
The suprapatellar approach may not be appropriate for all patients. Patients with severe knee arthritis, for example, may not be able to tolerate the procedure due to pain or limited range of motion.
The suprapatellar approach to tibial intramedullary nailing is a relatively new technique that has gained popularity in recent years. This approach has several potential advantages over traditional approaches, including improved visualization, reduced soft tissue damage, and reduced risk of ACL injury. However, it also has some risks and limitations that must be considered before choosing this approach.
Is the suprapatellar approach to tibial intramedullary nailing suitable for all patients?
No, the suprapatellar approach may not be suitable for all patients. Patients with severe knee arthritis or other knee injuries may not be able to tolerate the procedure.
Does the suprapatellar approach increase the risk of patellar fracture?
Creating a tunnel through the patellar tendon using a patellar awl can increase the risk of patellar fracture. However, this risk can be minimized by using a smaller diameter awl and taking care to avoid excessive force during the procedure.
What instruments are required for suprapatellar approach tibial intramedullary nailing?
The instrument set for suprapatellar approach tibial intramedullary nailing includes a patellar awl, suprapatellar cannula, intramedullary nail, reamer, and locking screws.
How does the suprapatellar approach differ from traditional approaches to tibial intramedullary nailing?
The suprapatellar approach involves making a small incision above the patella and creating a tunnel through the patellar tendon. This allows the surgeon to access the intramedullary canal of the tibia from above, rather than from the front or side as in traditional approaches.
What are the potential advantages of using the suprapatellar approach to tibial intramedullary nailing?
The potential advantages of using the suprapatellar approach include improved visualization, reduced soft tissue damage, and reduced.