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Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures
- Source :
- Journal of Orthopaedic Surgery and Research, Vol 15, Iss 1, Pp 1-7 (2020), Journal of Orthopaedic Surgery and Research
- Publication Year :
- 2020
- Publisher :
- BMC, 2020.
-
Abstract
- Background This study aimed to analyze and compare the clinical and functional outcomes of distal tibia fractures treated with intramedullary nailing (IMN) using the suprapatellar (SP) and infrapatellar (IP) surgical approaches. Methods A retrospective analysis was performed in 63 patients with distal fractures that were treated with IMN between August 2014 and August 2018. A total of 27 and 36 patients underwent IMN using the SP and IP techniques, respectively. The surgical time, blood loss, closed reduction rate, rate of adjuvant reduction technique, fracture healing time, and complications were reviewed in this study. Anterior knee pain was assessed using the visual analog scale. The Lysholm Knee Scoring Scale and American Orthopaedic Foot and Ankle Society (AOFAS) scale were used as clinical measurements. Results A total of 63 patients, with a minimum follow-up of 12 months, were evaluated. The average surgical time, blood loss, rate of adjuvant reduction technique, closed reduction rate, fracture healing time, and Lysholm Knee Scoring Scale score were insignificantly different (P > 0.05) between the two groups. However, the SP approach was superior to the IP approach in terms of pain score, AOFAS score, and fracture deformity rate (P < 0.05). Conclusions In the treatment of distal tibia fractures, the SP IMN technique is associated with a significantly higher functional outcome, lower knee pain, and lower rate of fracture deformity than the IP IMN technique.
- Subjects :
- medicine.medical_specialty
lcsh:Diseases of the musculoskeletal system
Visual analogue scale
medicine.medical_treatment
Bone healing
law.invention
Intramedullary rod
03 medical and health sciences
0302 clinical medicine
lcsh:Orthopedic surgery
law
medicine
Deformity
Internal fixation
Distal tibia fracture
Orthopedics and Sports Medicine
030212 general & internal medicine
030222 orthopedics
business.industry
Intramedullary nail
Surgery
lcsh:RD701-811
medicine.anatomical_structure
Knee pain
Orthopedic surgery
Ankle
medicine.symptom
lcsh:RC925-935
business
Research Article
Subjects
Details
- Language :
- English
- Volume :
- 15
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- Journal of Orthopaedic Surgery and Research
- Accession number :
- edsair.doi.dedup.....fb3da260b5c86467aeae636e63c727d8