Coelho, AlexSánchez Soler, Juan FranciscoFernández-Dominguez, Juan ManuelAmorim-Barbosa, TiagoTorres Claramunt, RaúlPerelli, SimoneMonllau García, Juan Carlos2024-04-252024-04-252023Coelho A, Sánchez-Soler JF, Fernández-Dominguez JM, Amorim-Barbosa T, Torres-Claramunt R, Perelli S, et al. Arthroscopically assisted suprapatellar tibial nail removal. Arthrosc Tech. 2023 Jul 10;12(8):e1329-33. DOI: 10.1016/j.eats.2023.03.0262212-6287http://hdl.handle.net/10230/59905Intramedullary nailing remains the most popular and preferred method of fixation for tibial shaft fractures. The infrapatellar approach through the patellar tendon has long been considered the gold standard. However, the suprapatellar approach has gained popularity because of the advantages of being easier to perform when treating proximal shaft and metaphyseal fractures and there being less postoperative anterior knee pain. Despite increased use of this approach, the removal of the implant from the same suprapatellar approach is tricky, and in most cases, the removal is performed through a new transpatellar tendon approach. This article describes arthroscopically assisted suprapatellar tibial nail removal using the same approach and instrumentation of the nail insertion. The technique has the advantage of preserving the patellar tendon without causing secondary damage to it. Through arthroscopy, direct visualization of the patellofemoral joint aids in preventing possible cartilage injury. Moreover, any associated intra-articular lesions can be diagnosed and addressed.application/pdfeng© 2023 THE AUTHORS. Published by Elsevier Inc. on behalf of the Arthroscopy Association of North America. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).TíbiaArtroscòpiainfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.eats.2023.03.026info:eu-repo/semantics/openAccess