Suprapatellar Nailing in Segmental Fractures of the Tibia: A Contemporary Surgical Perspective

Introduction: Segmental tibial fractures, defined by two distinct fracture lines creating an intermediate cortical segment, represent high-energy injuries with significant management challenges. Traditional infrapatellar nailing often falls short due to difficulties in maintaining alignment and a high incidence of anterior knee pain. Technique: This article outlines the suprapatellar approach for intramedullary nailing in segmental tibial fractures, highlighting surgical nuances, anatomical rationale, and advantages in challenging fracture configurations. Conclusion: Suprapatellar nailing offers improved alignment control, reduced anterior knee morbidity, and superior intraoperative ergonomics, making it a preferred technique in segmental tibial injuries. Keywords: Suprapatellar nailing, High energy trauma, Segmental tibia fracture