Knee Pain After Intramedullary Nailing of Tibia Fractures: Prevalence, Etiology, and Treatment
| Autor: | Sean T. Campbell, Michael J. Gardner, Julius A. Bishop, Jonathan-James T Eno |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
musculoskeletal diseases
medicine.medical_specialty Knee Joint law.invention Intramedullary rod 03 medical and health sciences 0302 clinical medicine Postoperative Complications law Fracture fixation medicine Prevalence Humans Orthopedics and Sports Medicine 030212 general & internal medicine Tibia Denervation 030222 orthopedics business.industry Biomechanics musculoskeletal system Arthralgia Surgery Fracture Fixation Intramedullary Saphenous nerve Tibial Fractures Knee pain Implant medicine.symptom business |
| Zdroj: | The Journal of the American Academy of Orthopaedic Surgeons. 26(18) |
| ISSN: | 1940-5480 |
| Popis: | Intramedullary nailing is often the treatment of choice for fractures of the tibia, but postoperative knee pain is common after this procedure. Potential etiologies include implant prominence, injury to intra-articular structures, patellar tendon or fat pad injury, damage to the infrapatellar branch of the saphenous nerve, and altered biomechanics. Depending on the etiology, described treatment options include observation, implant removal, assessment and treatment of injured intra-articular structures, and selective denervation. Careful attention to appropriate starting point and implant selection combined with more recently described semiextended nailing techniques may aid in prevention of knee pain. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|