Localização do ponto de entrada tibial

Abstract

OBJETIVE: To assess, through a questionnaire, the intramedullary nail entry point in the proximal aspect of the tibia. Me-thods: 230 attendees who treat tibial fractures were interviewed. The questionnaire was created with three sections that could be answered with Yes or answers and a fourth section that had two figures representing anteroposterior (AP) and lateral view x-rays that could be answered with a format A, B or C. RESULTS: The most frequent reason was ease of (67.8%), followed by the better nail insertion (60.9%) and the third one was knee pain (27.4%). Reasons for choosing access so as knee pain and prevent tendinitis had a significant relationship with points A and C of the schematic figure in the AP x-ray, especially C (medial tibial crest). No significant difference was observed between types of access to the patellar ligament in the schematic figure of the AP and lateral x-ray among age groups. CONCLUSION: The greater the age, the larger the proportion choosing the question avoid valgus deformity. Reasons from a medical (practical) perspective were related to the type of access in the transpatellar ligament, while reasons from a patient (functional) perspective were related to medial parapatellar access. Transpatellar access was chosen by most participants (66.5%).