Anterior Knee Pain After Intramedullary Tibia Nailing in A Muslim Society: A Prospective Randomized Study Comparing Two Different Nail Insertion Techniques
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2017, Vol 29, Issue 02
Abstract
Objective: To compare mean anterior knee pain score on cyclical kneeling at 12 weeks from intramedullary nailing for tibia shaft fractures with paratendinous approach versus transtendinous approach at a tertiary health care centre. Methods: 157 patients admitted with tibia diaphyseal fractures who subsequently underwent antegrade tibia nail insertion were enrolled in the study. The patients were divided in two groups. Group A consisted of patients underwent antegrade nail insertion using transtendinous approach and Group B underwent nail insertion using paratendinous approach. A standard study proforma was used to collect patient’s data and to record pain on kneeling on ground using a 100 mm Visual Analog Score (VAS). The assessment for pain was performed by a physician who wasblinded for the type of surgical approach that was used for nailing of tibia. Results: Mean age of patients in group A 35 ± 10 and in group B 36 ± 11 with P- value 0.655 which was statistically insignificant, similarly BMI was statistically insignificant as BMI 28 ± 6 and 26 ± 4 for group A and B respectively with insignificant P- value (0.073). After surgery, VAS scoring was done for anterior knee pain on cyclical kneeling at 12 weeks of surgery. Statistically, there was no significant difference in the score among the two study arms as 22 ± 8 and 21 ± 10 VAS evaluated in group A and B respectively with P- value (0.709). Conclusion: The choice of surgical approach, transtendinous versus paratendinous does not affect the outcome of antegrade tibia nailing with respect to anterior knee pain. There was no increase incidence of anterior knee pain associated with either of the two approaches. Therefore both approaches can be safely used to cite the entry portal for tibia nail insertion. Further detailed studies are required to study more causes of anterior knee pain.
Authors and Affiliations
Muhammad Ather Siddiqi, Syed Kamran Ali Shah,Zaki Idress
Effect of Calcium and Vitamin D Supplementation in Patients with Fracture Nonunions
To study the effects of calcium and vitamin D supplementation in cases of fracture nonunion. Study design: Non-randomized intervention study. Place and duration of study: This study was carried out at Combined Mili...
Bilateral Insufficiency Fractures of Hip with SIF A Case Report and Literature Review
Multiple Insufficiency fracture is a rare injury. To have a compression Sub Chondral Insufficiency fracture (SIF) in same hip is even rarer. The author's report an elderly lady with osteoporosis who had stress fractures...
Efficacy of VAC Suction in Traumatic & Non-traumatic Wound Infection Management
Objective: To asses the efficacy of VAC suction in traumatic and non-traumatic wound infection management Methods: This retrospective study was conducted on patients received as primary traumatic wounds or patients wi...
Tibials Anterior Cutaneous Tenosynovial Fistula of The Lower Leg - A Report of Two Cases
A fistula of the tenosynovium of tibialis anterior tendon and the skin in front of lower leg with discharge as a sequela of injury has not been previously reported in literature. We described two patients of cutaneous te...
Functional Outcome in Triceps Muscle Sparing Versus Muscle Splitting Approach in Pediatric Supracondylar Humerus Fracture
Objective: To determine the functional outcome of posterior triceps muscle sparing versus muscle splitting approach in supracondylar humerus fracture in children. Methods: This prospective randomized controlled study...