Authors of section


Cassio Ferrigno

Executive Editor

Amy Kapatkin

General Editor

Noel Moens

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Approach for normograde IM pin/ILN insertion

1. Indications

Normograde insertion of intramedullary (IM) pin or interlocking nail (ILN).

2. Anatomical considerations

This is an extra articular approach. Incision of the stifle joint capsule should be avoided.

3. Skin incision

A 1 to 2cm skin incision is made just medial and immediately caudal to the straight patellar tendon, at the level of the tibial plateau. If necessary, blunt dissection of the fat pad is performed to clear the access to the tibial plateau.

Care is taken to remain cranial to the joint capsule and avoid penetration of the joint.

plate and rod

4. Closure

Subcutaneous tissues are closed with continuous suture and routine closure of the skin.