Cartilaginous defect of the lateral trochlea following suprapatellar nailing of an open tibial shaft fracture: a case report

Abstract A 34-year-old female sustained a 1.8 cm full-thickness chondral defect of the right lateral trochlear surface as the result of intramedullary tibial nailing via a suprapatellar portal to treat a displaced right sided open comminuted spiral fracture of the distal tibial shaft. An osteochondr...

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Bibliographic Details
Published in:Journal of surgical case reports 2022-04, Vol.2022 (4), p.rjac144
Main Authors: Kuechly, Henry A, Thomson, Cameron G, Sabbagh, Ramsey S, Shah, Nihar S, Figueras, Jorge H, Grawe, Brian M
Format: Article
Language:English
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Case Report
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Summary:Abstract A 34-year-old female sustained a 1.8 cm full-thickness chondral defect of the right lateral trochlear surface as the result of intramedullary tibial nailing via a suprapatellar portal to treat a displaced right sided open comminuted spiral fracture of the distal tibial shaft. An osteochondral allograft was used to treat the chondral defect. Iatrogenic injury to intraarticular structures is a potential complication when inserting a tibial nail via a suprapatellar portal. Using proper technique with cannula systems and guide pins is essential to lowering the risk of damage to intraarticular structures.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjac144