Ali Murat BAŞAK, Ömer Levent KARADAMAR, Mehmet TÜRKER
Forbes Tıp Dergisi - 2026;7(1):33-38
Objective: The tibia is one of the most commonly fractured long bones and is frequently exposed to high-energy trauma. Selecting an appropriate treatment method is essential for successful outcomes and improved patient quality of life. In recent years, the suprapatellar entry intramedullary nailing technique has gained attention as a promising surgical approach. The aim of this study was to evaluate the clinical and radiological outcomes of suprapatellar intramedullary nailing in the treatment of adult tibial shaft fractures. Methods: This retrospective study included adult patients with tibial shaft fractures treated with the suprapatellar intramedullary nailing technique. Fractures were classified using the Arbeitsgemeinschaft für Osteosynthesefragen classification system. Both open and closed fractures were included, and open fractures were classified according to the Gustilo-Anderson classification. Clinical and radiological outcomes were evaluated during follow-up. Results: The mean postoperative fracture healing time was approximately 9 months. Most patients reported minimal anterior knee pain, with only occasional cases of limited knee motion. Observed complications included superficial infections, minor angular deformities, and small limb length discrepancies. Dynamization was required in two patients. The average operative time was approximately 52 minutes. Conclusion: Suprapatellar intramedullary nailing represents a reliable and effective surgical option for the treatment of adult tibial shaft fractures. The technique may facilitate fracture reduction and result in favorable clinical outcomes with acceptable complication rates.
