2017-11胫骨远段骨折微创髓内钉.ppt

AP and lateral x-rays at the level of a tibial shaft fracture in a morbidly obese patient. After appropriate x-rays are taken that demonstrate the knee and ankle have no extension of the injuries, tibial nailing may be performed on appropriate candidates. The perfect starting portal on the AP radiograph is located just medial to the lateral tibial eminence. Depending on the anatomy of the particular patient the incision may be either medial or lateral tot he patellar tendon. To determine the location of the incision, a guidewire is placed on the skin and under fluoroscopy the perfect star