Retrograde Marknagelung bei proximalen Unterschenkelfrakturen

Abstract

Intramedullary nailing of tibial fractures is a widely accepted method of osteosynthesis. Up to now intramedullary nails could not be employed for fractures and osteotomies in the most cranial fifth of the tibia, because no retrograde implantation technique was available.This situation is very different to femur and humerus,where retrograde implantation of intramedullary nails is clinical routine in osteosynthesis since a few years.Following anatomical and biomechanical studies we developed an operation and implantation technique for retrograde tibial nailing. This is the report of some clinical studies on the topic.The first results support retrograde tibial nailing as an advantageous and less invasive alternative to plate-osteosynthesis in some cases of very proximal tibial fractures and very high osteotomies.