Is Patellar Instability a Contraindication to Semiextended Tibial Nailing?: A Case Report.

Authors :: Ray GS
Leroy TE
Ryan SP
Bragg JT
Salzler MJ
Source :: JBJS case connector [JBJS Case Connect] 2023 Apr 18; Vol. 13 (2). Date of Electronic Publication: 2023 Apr 18 (Print Publication: 2023).
Publication Year :: 2023
Abstract: Case: We report a 40-year-old woman with undiagnosed patellofemoral instability that worsened 8 months after intramedullary nailing of a distal left tibia fracture in the semiextended position through a partial medial parapatellar approach. Patella stability and asymptomatic knee function were restored after IM nail removal, medial patellofemoral ligament repair, and left tibial tubercle transposition.<br />Conclusion: The optimal surgical approach for tibial IM nailing in patients with chronic patellar instability has not been described. Clinicians should be cognizant of the potential for worsening patellofemoral instability in these patients when using the medial parapatellar approach in the semiextended position.<br />Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C86).<br /> (Copyright © 2023 by The Journal of Bone and Joint Surgery, Incorporated.)

Subjects :: Female
Humans
Adult
Tibia surgery
Bone Nails
Contraindications
Fracture Fixation, Intramedullary
Joint Instability surgery
Patellofemoral Joint diagnostic imaging
Patellofemoral Joint surgery
Tibial Fractures complications
Tibial Fractures diagnostic imaging
Tibial Fractures surgery
Ankle Fractures

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