Extreme Nailing or Less Invasive Plating of Lower Extremity Periarticular Fractures

Peter R Wasky; Michael J Beltran

doi:10.1016/j.ocl.2021.01.002

Extreme Nailing or Less Invasive Plating of Lower Extremity Periarticular Fractures

Orthop Clin North Am. 2021 Apr;52(2):111-121. doi: 10.1016/j.ocl.2021.01.002. Epub 2021 Feb 10.

Authors

Peter R Wasky¹, Michael J Beltran²

Affiliations

¹ Department of Orthopaedic Surgery, University of Cincinnati, 231 Albert Sabin Way Room 5553, Cincinnati, OH 45267, USA.
² Department of Orthopaedic Surgery, University of Cincinnati, 231 Albert Sabin Way Room 5553, Cincinnati, OH 45267, USA. Electronic address: mbeltran0514@gmail.com.

PMID: 33752832
DOI: 10.1016/j.ocl.2021.01.002

Abstract

Periarticular fractures of the lower extremity can be difficult injuries to stabilize effectively. Modern advances in technique and implant design now allow many of these fractures to be fixed with an extreme intramedullary nail. When nailing is not possible, less invasive plating through percutaneous incisions is a reliable option. The decision to perform extreme nailing is multifactorial and is based on the fracture pattern, the condition of the soft tissues, the medical condition of the patient, and the importance of earlier or immediate weightbearing.

Keywords: Distal femur; Distal tibia; Extreme nailing; MIPO; Percutaneous; Periarticular; Proximal tibia; Suprapatellar.

Publication types

Review

MeSH terms

Femur / injuries*
Femur / surgery*
Fracture Fixation, Intramedullary / instrumentation*
Fracture Fixation, Intramedullary / methods
Humans
Internal Fixators*
Tibial Fractures / surgery*