Fixator Assisted Nailing (FAN) - Subtubercle Osteotomy, Surgical Technique Video

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Fixator Assisted Nailing (FAN) - Subtubercle Osteotomy, Surgical Technique Video

By Orthopedic Reconstruction Surgeons 4 Videos FEATURING Mehmet Erdem, Necmettin Turgut, Levent Bayam

18 views

December 22, 2024

High tibial osteotomy (HTO) is an effective surgical procedure for correcting varus deformities. It serves ...
read more ↘ as a viable treatment option for unicompartmental knee osteoarthritis, particularly in carefully selected patients such as young, active individuals with medial compartment arthritis. Recent advancements in surgical techniques and fixation devices have enhanced the success rates of HTO. Various HTO techniques—including open wedge, closed wedge, and dome osteotomies—can be performed using different fixation devices like plate-screw systems, external fixators, and intramedullary nails.

Subtubercle osteotomy aims to correct deformities while preserving patellofemoral alignment, thereby reducing the risk of patella baja associated with both open and closed wedge procedures. The "Fixator-Assisted Nailing (FAN)" technique is widely used in orthopedic deformity surgeries. In this method, an external fixator is temporarily applied during surgery to achieve precise alignment, followed by stabilization with an intramedullary nail, minimizing complications related to prolonged external fixation.

Considering the benefits of these methods, we combined subtubercle osteotomy with the FAN technique. This minimally invasive approach allows for accurate alignment correction in both sagittal and coronal planes, offering additional biomechanical advantages. Our study evaluating the clinical and radiological outcomes of patients treated with this combined surgical technique was published in 2020 in *Acta Orthopaedica et Traumatologica Turcica*.

For detailed information, you can access the full article here: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7243688

This study provides insights into the efficacy of combining subtubercle osteotomy with the FAN technique in treating knee deformities, contributing to the evolving landscape of orthopedic surgical interventions.
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