Dr. Thakur innovative technique of suprapatellar nailing of tibia

Intramedullary nailing is treatment of choice for diaphyseal fractures tibia in adults. Infrapatellar medullary usually done tibial but metaphyseal reduction become a challenge due to anterior deformity pull patellar tendon. Suprapatellar becoming popular and route because it semiextended position which helps good fixation. But the major disadvantage this approach specific instrument sets implants are very costly. In study we used an innovative technique suprapatellar fracture cost effective. No special used, no jig protective sleeve trocar from PFNA2 set colour coded infrapatellar nail extractor introduce proper position.