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Eur J Orthop Surg Tr · May 2018
"Clothesline technique" for proximal tibial shaft fracture fixation using conventional intramedullary nail: a simple, useful, and inexpensive technique to prevent fracture malalignment.
- William Dias Belangero, Santos Pires Robinson Esteves RE Departamento do Aparelho Locomotor, Universidade Federal de Minas Gerais, Av. Alfredo Balena, 190 - Santa Efigênia, Belo Horizonte, MG, 3, Bruno Livani, Felipe Lins Rossi, and Andre Luis Lugnani de Andrade.
- Grupo de Trauma do Aparelho Locomotor, Departamento de Ortopedia e Traumatologia, Faculdade de Ciências Médicas, Universidade Estadual de Campinas UNICAMP, Campinas, SP, Brazil.
- Eur J Orthop Surg Tr. 2018 May 1; 28 (4): 721-725.
AbstractTreatment of proximal tibial shaft fractures is always challenging. Despite the development of modern techniques, the literature still shows high complication rates, especially regarding proximal fragment malalignment. It is well known that knee position in flexion during tibial nailing is responsible for extension and valgus deformities of the proximal fragment. Unlike in tibial shaft fractures, nails do not reduce proximal tibial fractures due to the medullary canal width. This study aims to describe a simple, useful, and inexpensive technique to prevent valgus and extension deformities when treating proximal tibial fractures using conventional nails: the so-called clothesline technique.
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