BACKGROUND: The objective of this study is to analyze the proximal tibiofibular joint in patients with knee pain after treatment of tibial shaft fractures with locked intramedullary nail. FINDINGS: The proximal tibiofibular joint was analyzed in 30 patients, who reported knee pain after tibial nailing, and standard radiograph and computed tomography were performed to examine the proximal third of the tibia. Twenty patients (68.9%) presented the proximal screw crossing the proximal tibiofibular joint and 13 (44.8%) had already removed the nail and/or screw. Four patients (13.7%) reported complaint of knee pain. However, the screw did not reach the proximal tibiofibular joint. Five patients (17.2%) complained of knee pain although the screw toward the joint did not affect the proximal tibiofibular joint. CONCLUSION: When using nails with oblique proximal lock, surgeons should be careful not to cause injury in the proximal tibiofibular joint, what may be one of the causes of knee pain. Thus, the authors suggest postoperative evaluation performing computed tomography when there is complaint of pain.
BACKGROUND: The objective of this study is to analyze the proximal tibiofibular joint in patients with knee pain after treatment of tibial shaft fractures with locked intramedullary nail. FINDINGS: The proximal tibiofibular joint was analyzed in 30 patients, who reported knee pain after tibial nailing, and standard radiograph and computed tomography were performed to examine the proximal third of the tibia. Twenty patients (68.9%) presented the proximal screw crossing the proximal tibiofibular joint and 13 (44.8%) had already removed the nail and/or screw. Four patients (13.7%) reported complaint of knee pain. However, the screw did not reach the proximal tibiofibular joint. Five patients (17.2%) complained of knee pain although the screw toward the joint did not affect the proximal tibiofibular joint. CONCLUSION: When using nails with oblique proximal lock, surgeons should be careful not to cause injury in the proximal tibiofibular joint, what may be one of the causes of knee pain. Thus, the authors suggest postoperative evaluation performing computed tomography when there is complaint of pain.
Authors: Jarmo A K Toivanen; Olli Väistö; Pekka Kannus; Kyösti Latvala; Seppo E Honkonen; Markku J Järvinen Journal: J Bone Joint Surg Am Date: 2002-04 Impact factor: 5.284
Authors: Olli Väistö; Jarmo Toivanen; Timo Paakkala; Timo Järvelä; Pekka Kannus; Markku Järvinen Journal: J Orthop Trauma Date: 2005 May-Jun Impact factor: 2.512
Authors: William Dias Belangero; Robinson Esteves Santos Pires; Bruno Livani; Felipe Lins Rossi; Andre Luis Lugnani de Andrade Journal: Eur J Orthop Surg Traumatol Date: 2018-01-23
Authors: Rene Burchard; Denise Katerla; Marina Hammer; Anke Pahlkötter; Christian Soost; Gerhard Dietrich; Arne Ohrndorf; Wolfgang Richter; Markus Lengsfeld; Hans-Jürgen Christ; Jan Adriaan Graw; Claus-Peter Fritzen Journal: Int Orthop Date: 2018-02-01 Impact factor: 3.075
Authors: Laurent A M Hendrickx; James Virgin; Job N Doornberg; Gino M M J Kerkhoffs; Ruurd L Jaarsma Journal: Eur J Orthop Surg Traumatol Date: 2020-07-12