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.

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 Management of high-energy tibial shaft fractures using the hexapod circular external fixator

BMC Surgery ◽  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yanshi Liu ◽  
Jialin Liu ◽  
Maimaiaili Yushan ◽  
Zhenhui Liu ◽  
Tao Zhang ◽  
...  
Keyword(s):  
Clinical Outcomes ◽  
External Fixator ◽  
High Energy ◽  
Bone Union ◽  
Tibial Shaft Fracture ◽  
Tibial Shaft ◽  
Clinical Visit ◽  
Shaft Fractures ◽  
Definitive Management ◽  
Tibial Shaft Fractures

Abstract Background The hexapod external fixator (HEF) is increasingly used for high-energy tibial shaft fracture care as more general orthopedic surgeons are gaining expertise of this versatile device. The purpose of this study was to evaluate the clinical effectiveness of the HEF for definitive management in patients with high-energy tibial shaft fractures. Methods The study was conducted on 34 patients with tibial shaft fractures who were admitted or referred to our institution and consented to HEF treatment from Jan 2016 to June 2019, including 27 males and 7 females with a mean age of 39 years (range 18 to 65 years). Patients' clinical and radiological data, and the final clinical outcomes at a minimum of 12 months follow-up were collected and retrospectively analyzed. All complications were documented according to Paley’s classification. The clinical outcomes were evaluated using the Association for the Study and Application of the Method of Ilizarov criteria (ASAMI) at the last clinical visit. Results All patients remained in the HEF for a mean of 26 weeks (range 15 to 52 weeks) and acquired complete bone union. The satisfactory alignment was achieved in all patients, and all the patients were able to perform daily activities with no difficulty at the last clinical visit. Complications included pin tract infection (44%), delayed union (6%), nonunion (3%), and joint stiffness (3%). The ASAMI bony result was excellent in 31 patients and good in 3. The ASAMI functional result was excellent in 27 patients, good in 6, and fair in 1. Conclusions Definitive management using the hexapod external fixator is an alternative and effective method for high-energy tibial shaft fractures, including technical advantages of early trauma-control, the versatility of achieving excellent alignment, and the continuity of device until bone union.

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