Approach for normograde IM pin/ILN insertion

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

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

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.

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