OBJECTIVES: To evaluate the post-operative complications of intramedullary nailing technique by transpatellar approach compared to medial parapatellar approach. METHODS:Fifty patients with tibial fractures treated byintramedullary nailing through two transpatellar (t-group) and medial parapatellar (p-group) approaches were studied. Knee pain was assessed with visual analogue scale (VAS) for 2 weeks, 1, 3 and 6 months and range of motion (ROM) in 2 weeks and 3 months after surgery. RESULTS: There were 23 males and 2 females with a mean age of 28.68 +/- 5.78 years in t-group and 21 males and 4 females with a mean age of 28.80 +/- 5.82 in p-group. There was significant difference in knee pain score after 3 months (p = 0.013) and 6 months (p = 0.009) between the two study groups (p-group had less pain than t-group). But there was not significant difference between the two study groups in range of motion after 2 weeks and 3 months of surgery. CONCLUSION: Our study recommends medial parapatellar tendon approach, although both approaches are safe.
RCT Entities:
OBJECTIVES: To evaluate the post-operative complications of intramedullary nailing technique by transpatellar approach compared to medial parapatellar approach. METHODS: Fifty patients with tibial fractures treated by intramedullary nailing through two transpatellar (t-group) and medial parapatellar (p-group) approaches were studied. Knee pain was assessed with visual analogue scale (VAS) for 2 weeks, 1, 3 and 6 months and range of motion (ROM) in 2 weeks and 3 months after surgery. RESULTS: There were 23 males and 2 females with a mean age of 28.68 +/- 5.78 years in t-group and 21 males and 4 females with a mean age of 28.80 +/- 5.82 in p-group. There was significant difference in knee pain score after 3 months (p = 0.013) and 6 months (p = 0.009) between the two study groups (p-group had less pain than t-group). But there was not significant difference between the two study groups in range of motion after 2 weeks and 3 months of surgery. CONCLUSION: Our study recommends medial parapatellar tendon approach, although both approaches are safe.
Authors: Akshar H Patel; J Heath Wilder; Olivia C Lee; Austin J Ross; Krishna C Vemulapalli; Paul B Gladden; Murphy P Martin; William F Sherman Journal: Orthop Rev (Pavia) Date: 2022-01-30
Authors: Mandala S Leliveld; Michael H J Verhofstad; Eduard Van Bodegraven; Jules Van Haaren; Esther M M Van Lieshout Journal: Eur J Trauma Emerg Surg Date: 2020-08-09 Impact factor: 3.693