Tratamiento con clavo endomedular de las fracturas metafisarias proximales y distales de tibia. Abordaje pararrotuliano medial en posición de semiextensión

Abstract Objective: To review the results of a series of metaphyseal tibial fractures treated with intramedullary nailing (IMN) in a semi-extended position using a medial parapatellar approach. To report reduction quality, bone consolidation, range of motion (ROM) and postoperative knee pain at final follow-up. Materials and Method: Twenty-three metaphyseal tibia fractures were treated with IMN. Twelve were distal tibial fractures (AO/OTA 43A), nine were proximal tibial fractures (AO/OTA 41A2/3), and two had segmental tibia fractures (AO/OTA 42C2). The minimum follow-up was 1 year. Results: Radiograph angulation at the fracture site was 20 according to the Lysholm scale. Conclusion: The parapatellar approach in a semi-extended position is a safe and useful technique for IMN of metaphyseal tibia fractures with no associated increased postoperative knee pain.