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Intramedullary nailing of tibial non-unions using the suprapatellar approach: a case series
Background: A number of treatment options are available for diaphyseal non-unions of the tibia, including intramedullary (IM) nailing. An infrapatellar entry point with the knee in deep flexion can make this procedure challenging, especially with associated deformity or an obliterated canal. The sup...
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| Format: | Thesis |
| Language: | English |
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Division of Orthopaedic Surgery
2022
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| _version_ | 1867613169122279424 |
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| access_status_str | Open Access |
| author | Botma, Nicolaas |
| author2 | Laubscher, Maritz |
| author_browse | Botma, Nicolaas Laubscher, Maritz |
| author_facet | Laubscher, Maritz Botma, Nicolaas |
| author_sort | Botma, Nicolaas |
| collection | Thesis |
| description | Background: A number of treatment options are available for diaphyseal non-unions of the tibia, including intramedullary (IM) nailing. An infrapatellar entry point with the knee in deep flexion can make this procedure challenging, especially with associated deformity or an obliterated canal. The suprapatellar approach allows nail insertion with the knee extended, which facilitates correction of malalignment in the sagittal and coronal planes. The aim of our study was to review the outcome of diaphyseal tibia non-unions, treated with an intramedullary nail, using the suprapatellar approach. Method: We retrospectively reviewed consecutive cases with non-union of the tibial shaft, treated with a suprapatellar entry nail between May 2016 and January 2018. Patients who were previously managed with a nail or who had active sepsis were excluded. The rate and time to union, as well as complications were assessed. Results: Thirteen cases were included and followed up until union at a mean of 5.8 months. All were performed percutaneously, without opening of the non-union site. Two patients developed complications, although bony union was still achieved. Conclusion: A suprapatellar entry tibial nail is an acceptable treatment option for tibial non-unions not previously treated with a nail. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/35689 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:31:52.071Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Division of Orthopaedic Surgery |
| publisherStr | Division of Orthopaedic Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/35689 Intramedullary nailing of tibial non-unions using the suprapatellar approach: a case series Botma, Nicolaas Laubscher, Maritz tibia non-union suprapatellar intramedullary nail Background: A number of treatment options are available for diaphyseal non-unions of the tibia, including intramedullary (IM) nailing. An infrapatellar entry point with the knee in deep flexion can make this procedure challenging, especially with associated deformity or an obliterated canal. The suprapatellar approach allows nail insertion with the knee extended, which facilitates correction of malalignment in the sagittal and coronal planes. The aim of our study was to review the outcome of diaphyseal tibia non-unions, treated with an intramedullary nail, using the suprapatellar approach. Method: We retrospectively reviewed consecutive cases with non-union of the tibial shaft, treated with a suprapatellar entry nail between May 2016 and January 2018. Patients who were previously managed with a nail or who had active sepsis were excluded. The rate and time to union, as well as complications were assessed. Results: Thirteen cases were included and followed up until union at a mean of 5.8 months. All were performed percutaneously, without opening of the non-union site. Two patients developed complications, although bony union was still achieved. Conclusion: A suprapatellar entry tibial nail is an acceptable treatment option for tibial non-unions not previously treated with a nail. 2022-02-09T11:42:26Z 2022-02-09T11:42:26Z 2021 2022-02-08T08:25:53Z Master Thesis Masters MMed http://hdl.handle.net/11427/35689 eng application/pdf Division of Orthopaedic Surgery Faculty of Health Sciences |
| spellingShingle | tibia non-union suprapatellar intramedullary nail Botma, Nicolaas Intramedullary nailing of tibial non-unions using the suprapatellar approach: a case series |
| thesis_degree_str | Master's |
| title | Intramedullary nailing of tibial non-unions using the suprapatellar approach: a case series |
| title_full | Intramedullary nailing of tibial non-unions using the suprapatellar approach: a case series |
| title_fullStr | Intramedullary nailing of tibial non-unions using the suprapatellar approach: a case series |
| title_full_unstemmed | Intramedullary nailing of tibial non-unions using the suprapatellar approach: a case series |
| title_short | Intramedullary nailing of tibial non-unions using the suprapatellar approach: a case series |
| title_sort | intramedullary nailing of tibial non unions using the suprapatellar approach a case series |
| topic | tibia non-union suprapatellar intramedullary nail |
| url | http://hdl.handle.net/11427/35689 |
| work_keys_str_mv | AT botmanicolaas intramedullarynailingoftibialnonunionsusingthesuprapatellarapproachacaseseries |