Comparison of three different approaches for anterior knee pain after tibia intramedullary nailing
| Autor: | Ismail Turkmen, Sami Sokucu, Çağrı Özcan |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Sports medicine Knee Joint MEDLINE Tibia Fracture Pain Critical Care and Intensive Care Medicine law.invention Intramedullary rod Young Adult 03 medical and health sciences Postoperative Complications 0302 clinical medicine law medicine Humans Orthopedics and Sports Medicine Tibial fracture Tibia Retrospective Studies 030222 orthopedics Lysholm Knee Score business.industry Anterior knee pain 030208 emergency & critical care medicine Middle Aged Surgery Fracture Fixation Intramedullary Tibial Fractures Patellofemoral Pain Syndrome Emergency Medicine Female business Body mass index |
| Zdroj: | European journal of trauma and emergency surgery : official publication of the European Trauma SocietyReference. 46(6) |
| ISSN: | 1863-9941 |
| Popis: | The aim of this study was to compare anterior knee pain and functional outcomes in patients who underwent intramedullary tibial nailing using transpatellar, medial parapatellar or suprapatellar nail entry methods. We retrospectively reviewed patients who underwent tibial fracture repair in our clinic between January 2010 and March 2017. After applying the exclusion criteria, 58 patients were included in the study. Patients were divided into 3 groups based on the nailing approach: medial parapatellar, transpatellar or suprapatellar. Age, body mass index, follow-up duration, Kujala Score, Lysholm Knee Score, anterior knee pain, length of hospitalization and surgical duration were assessed. Of the 58 patients studied, 21 underwent a transpatellar (TP) approach, 16 a medial parapatellar (MP) approach, and 21 a suprapatellar (SP) approach. The mean Kujala Score of patients who had the TP approach was 80 ± 7.15 (72–93) and the average Lysholm Knee Score was 80.23 ± 8.74 (70–95). There was no statistically significant difference between Kujala Scores (p = 0.38) or Lysholm Knee Scores (p 0.06) among the groups; similarly, no statistically significant difference was found among the three groups in terms of anterior knee pain, length of hospitalization or surgical duration (p > 0.05). The suprapatellar tibia nailing method is as safe and reliable as transpatellar and medial parapatellar methods in terms of effect on postoperative anterior knee pain and functional outcomes. Level 3 case–control study. |
| Databáze: | OpenAIRE |
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