Usage of medial parapatellar approach
This approach is used for medial femoral condylar fractures. In addition, it may be used in retrograde nailing of intra articular fractures.
Antibiotics are administered according to local antibiotic policy and specific patient requirements.
Many surgeons use gram-positive prophylactic antibiotic cover for closed fractures, adding gram-negative prophylactic cover for open fractures. Always remember that antibiotic therapy will never compensate for poor surgical technique.