Opening the Tibia, contd

Identify Nail Entry Point

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Entry point - AP view
Entry point - AP view

Entry point - lateral view
Entry point - lateral view

The entry point for the nail is in line with the medullary canal in the AP view, and is at the anterior edge of the tibial plateau. The location of the entry point in relation to the tibial tubercle varies with patient anatomy.

Make a longitudinal incision over the midline of the tubercle, extending proximally.

Retract the patellar tendon laterally, or split the tendon, depending on surgeon preference and patient anatomy.



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