Tibial Intramedullary Nailing: Infrapatellar Approach

Study Tibial Intramedullary Nailing: Infrapatellar Approach through an immersive first-person surgical case from the Bone Reconstruction channel on Surgie. The module focuses on patient positioning for ideal knee flexion, anatomical marking and precise definition of the tibial axis, and infrapatellar access with preservation of the paratenon and patellar tendon.

Procedure Overview

The case is organized for structured review of surgical anatomy, procedural sequencing, instrument handling, reduction or reconstruction strategy, implant positioning, and intraoperative verification. Expert narration connects the visual field with the decisions documented during the procedure.

What You Will Observe

• Patient positioning for ideal knee flexion
• Anatomical marking and precise definition of the tibial axis
• Infrapatellar access with preservation of the paratenon and patellar tendon
• Introduction of the guide wire and olive-tipped guidewire with radiographic control
• Protection of soft tissues during drilling and reaming
• Correct measurement and adequate reaming of the medullary canal

Key Technical Decisions

• Patient Positioning
• Anatomical Reference
• Infrapatellar Access
• Efficient Radiographic Control
• Tissue Protection During Drilling

Included With This Training

• Technical PDF summarizing the procedure, operative sequence, and key review points.

Learning Format

First-person operative footage, surgeon-led narration, and case-based visual review designed to support preparation before supervised clinical training.

Educational notice: This content supports professional education and does not replace formal training, institutional protocols, patient-specific planning, or supervised clinical judgment.