Knee Pain and Functional Scores After Intramedullary Nailing of Tibial Shaft Fractures Using a Suprapatellar Approach

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dc.contributor.authorSerbest, Sancar
dc.contributor.authorTiftikci, Ugur
dc.contributor.authorCoban, Mehmet
dc.contributor.authorCirpar, Meric
dc.contributor.authorDaglar, Bulent
dc.date.accessioned2020-06-25T18:34:33Z
dc.date.available2020-06-25T18:34:33Z
dc.date.issued2019
dc.departmentKırıkkale Üniversitesi
dc.descriptionAnnual Meeting of the European-Federation-of-National-Associations-of-Orthopaedics-and-Traumatology (EFORT) -- MAY 30-JUN 01, 2018 -- Barcelona, SPAIN
dc.description.abstractObjectives: To evaluate the effects of intramedullar nailing of the tibia using a suprapatellar (SP) approach with respect to pain and function of the knee. Design: Prospective clinical investigation. Setting: Academic level I trauma center. Patients/Participants: Twenty-one patients with tibial shaft fractures (Orthopaedic Trauma Association 42A-B-C) with a minimum of 12-month follow-up. Intervention: Locked intramedullary nailing using a SP approach. Main Outcome Measurements: Radiographic evaluation for nail position proximally, tibial shaft alignment and union, anterior knee pain using the visual analog scale, and knee function evaluation using the Lysholm and SF-36 scores. Examination of intra-articular damage was performed using intraoperative patellofemoral arthroscopy before and after nail insertion. Results: The mean age of the patients was 35.4 +/- 12.4 years (range, 18-63 years), and the mean follow-up period was 15.+/- 2 6 3.2 months (range, 12-21 months). The visual analog scale score for anterior knee pain was a mean of 1.0 +/- 1.3 (range, 0-4). The SF-36 physical score was mean 45.1 +/- 9, and the SF-36 mental score was a mean of 51.7 +/- 9.9. The knee joint range of movement was measured as 133.1 +/- 87 degrees on the affected extremity side and 134.05 +/- 8.4 degrees on the unaffected side. The mean Lysholm knee score was 95.7 +/- 6 4. No intra-articular pathology was seen on arthroscopy after nail insertion. Conclusions: The SP approach for intramedullar nailing for tibial shaft fractures was not associated with either anterior knee pain or functional limitations of the knee in our series.en_US
dc.description.sponsorshipEuropean Federat Natl Assoc Orthopaed & Traumatolen_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1097/BOT.0000000000001337
dc.identifier.endpage41en_US
dc.identifier.issn0890-5339
dc.identifier.issn1531-2291
dc.identifier.issue1en_US
dc.identifier.pmid30277985
dc.identifier.scopus2-s2.0-85058900579
dc.identifier.scopusqualityQ1
dc.identifier.startpage37en_US
dc.identifier.urihttps://doi.org/10.1097/BOT.0000000000001337
dc.identifier.urihttps://hdl.handle.net/20.500.12587/7954
dc.identifier.volume33en_US
dc.identifier.wosWOS:000467798900020
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal Of Orthopaedic Trauma
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectsuprapatellar approachen_US
dc.subjectintramedullary tibial nailingen_US
dc.subjectpatellofemoral jointen_US
dc.subjectsemiextended approachen_US
dc.subjectlocked intramedullary nailen_US
dc.subjectarthroscopic evaluationen_US
dc.subjectfluoroscopyen_US
dc.titleKnee Pain and Functional Scores After Intramedullary Nailing of Tibial Shaft Fractures Using a Suprapatellar Approachen_US
dc.typeArticle

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