A simple cost effective technique for soft tissue protection during intramedullary nailing of the tibia

Published online: Dec 27 2010

Joseph Alsousou, Steven M. McDonnell, Jussi Elo

From the Oxford Trauma Unit, John Radcliff Hospital, Oxford, United Kingdom


Intramedullary nailing has revolutionized the management of tibial diaphyseal fractures. However, anterior knee pain remains a common complication. Although knee pain causes are still largely unknown, there is evidence to suggest that adhesions resulting from soft tissue damage may contribute to it. We describe a simple cost-effective technique that utilises a syringe to protect the patellar ligament and Hoffa's fat pad during intramedullary nailing of the tibia.