Anterior Knee Pain and Thigh Muscle Strength After Intramedullary Nailing of a Tibial Shaft Fracture: An 8-Year Follow-up of 28 Consecutive Cases

2007 ◽  
Vol 21 (3) ◽  
pp. 165-171 ◽  
Author(s):  
Olli V??ist?? ◽  
Jarmo Toivanen ◽  
Pekka Kannus ◽  
Markku J??rvinen
Keyword(s):  
Muscle Strength ◽  
Intramedullary Nailing ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Shaft Fracture ◽  
Thigh Muscle ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Anterior Knee

Anterior Knee Pain and Thigh Muscle Strength After Intramedullary Nailing of Tibial Shaft Fractures

2004 ◽  
Vol 18 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Olli Väistö ◽  
Jarmo Toivanen ◽  
Pekka Kannus ◽  
Markku Järvinen
Keyword(s):  
Muscle Strength ◽  
Intramedullary Nailing ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Thigh Muscle ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Anterior Knee ◽  
Tibial Shaft Fractures

scholarly journals Do the Loss of Thigh Muscle Strength and Tibial Malrotation Cause Anterior Knee Pain after Tibia Intramedullary Nailing?

2019 ◽  
Vol 2019 ◽  
pp. 1-6 ◽  
Author(s):  
Emre Anıl Özbek ◽  
Mahmut Kalem ◽  
Hakan Kınık
Keyword(s):  
Muscle Strength ◽  
Lower Extremity ◽  
Intramedullary Nailing ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Thigh Muscle ◽  
Flexor Muscle ◽  
Injured Limb ◽  
Significant Difference ◽  
Anterior Knee

Purpose. Anterior knee pain (AKP) is a common complication after tibia intramedullary nailing surgery, but yet the etiology is not fully revealed. Our study had two hypotheses. The first one is “after tibia intramedullary nailing with transtendinous approach, thigh muscles strength decreases and this loss of muscle strength causes AKP.” Secondly, “lower extremity rotational profile is affected after tibia intramedullary nailing.” Methods. Our study was planned retrospectively and included 40 patients, who underwent tibia intramedullary nailing surgery. Mean follow-up time was 22.5 months. Tegner Lysholm knee scoring scale was applied to evaluate postoperative functional outcomes of all patients. Isometric muscle strengths of bilateral knee extensor and flexor muscle groups were compared with hand-held dynamometer. In addition, bilateral lower extremity Staheli rotational profile angles (foot progression angle (FPA), thigh-foot angle (TFA), and transmalleolar angle (TMA)) were compared. Results. Lysholm knee score was evaluated as excellent in 28 patients. AKP were detected in 15 patients and there was no significant difference between the injured limb with contralateral quadriceps mean muscle strength (injured limb mean (ILM) = 201.97 Newton (N) – contralateral mean (CM) = 205.4 N). However, there was a significant difference (p<0,05) between injured limb with contralateral extremity hamstring mean muscle strength (ILM = 153.2 N– CM=158.95 N). Although there was a significant difference between the two extremities’ rotational profile angles, there was no significant correlation between the rotational profile angles and knee pain. Conclusion. As a result of our study, AKP appears to be significantly related to the loss of hamstring muscle strength. We suppose that hamstring exercises will gain importance in rehabilitation programs of tibia intramedullary nailing surgery in future.

scholarly journals Decreased QOL and muscle strength are persistent 1 year after intramedullary nailing of a tibial shaft fracture: a prospective 1-year follow-up cohort study

2016 ◽  
Vol 136 (10) ◽  
pp. 1395-1402 ◽  
Author(s):  
Peter Larsen ◽  
Rasmus Elsoe ◽  
Uffe Laessoe ◽  
Thomas Graven-Nielsen ◽  
Christian Berre Eriksen ◽  
...  
Keyword(s):  
Cohort Study ◽  
Muscle Strength ◽  
Intramedullary Nailing ◽  
Shaft Fracture ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft

Anterior Knee Pain after Intramedullary Nailing for Tibial Shaft Fractures

2011 ◽  
Vol 24 (1) ◽  
pp. 28 ◽  
Author(s):  
Suk-Kyu Choo ◽  
Hyoung-Keun Oh ◽  
Hyun-Woo Choi ◽  
Jae-Gwang Song
Keyword(s):  
Intramedullary Nailing ◽  
Knee Pain ◽  
Anterior Knee Pain ◽  
Tibial Shaft ◽  
Shaft Fractures ◽  
Anterior Knee ◽  
Tibial Shaft Fractures

scholarly journals COMPARISON OF EFFECTS OF DIFFERENT NAIL TIP POSITIONS ON ANTERIOR KNEE PAIN AFTER INTRAMEDULLARY INTERLOCKING NAILING FOR TIBIAL SHAFT FRACTURES

2021 ◽  
Vol 71 (6) ◽  
pp. 1950-53
Author(s):  
Muhammad Hassan ◽  
Adnan Anwar ◽  
Hassan Udin Hassan ◽  
Muhammad Rehan Saleem ◽  
Usman Arif
Keyword(s):  
Knee Pain ◽  
Anterior Knee Pain ◽  
Military Hospital ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Anterior Cortex ◽  
Interlocking Nailing ◽  
Shaft Fractures ◽  
Anterior Knee ◽  
Tibial Shaft Fractures

Objective: To determine the frequency of anterior knee pain after intramedullary interlocking nailing in tibial shaft fractures and to compare the intensity of anterior knee pain between positive and negative anterior cortex nail groups.Study Design: Quasi-experimental study. Place and Duration of Study: Department of Orthopaedic Surgery, Combined Military Hospital Rawalpindi, from Oct 2018 to Apr 2019. Methodology: 100 cases of tibial shaft fracture were divided into two groups according to anterior cortex nail distance. Patients 18-40 years of age of both genders, closed fractures, Gustilo Andersen I open tibial diaphyseal fractures and nail tip more than 5mm from tibial tuberosity were included. Patients with osteoarthritis, pathological fractures, renal disease, open fracture GA-II & GA-III and knee instability were excluded from the study. Both groups with positive and negative anterior cortex nail distance were compared for pain using the chi-square test. Results: Frequency of anterior knee pain after intramedullary interlocking nailing in tibial shaft fractures was found in 24% of patients. 8 (16%) out of 50 patients in the group with nail tip deep to anterior cortex had anterior knee pain while 16 (32%) out of 50 patients in the group with nail tip protruding from anterior cortex suffered anterior knee pain (p-value = 0.061). Conclusion: Intramedullary interlocking nailing in tibial shaft fractures with nail tip deep to anterior cortex showed less pain as compared to nail tip protruding from anterior cortex although it was not statistically significant.

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