Suprapatellar nailing of fractures of the tibia

Hessmann, M.; Buhl, Michael; Finkemeier, Christopher G.; Khoury, Amal; Mosheiff, Rami; Blauth, M.

doi:10.1007/s00064-020-00649-9

“…Evaluation on the basis of the Lysholm Knee Scoring Scale score of the IP and SP approaches for the treatment of distal tibial fractures in this study showed similar results. Our results are consistent with the results of the previous reports that compared the functional knee outcomes between the IP and SP surgical approaches [16,29]. However, our study demonstrated that the AOFAS score was significantly higher in the SP approach than in the IP approach.…”

Section: Discussionsupporting

confidence: 92%

Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures

Lu

¹

,

Wang²,

Ren

³

et al. 2020

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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.

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“…Evaluation on the basis of the Lysholm Knee Scoring Scale score of the IP and SP approaches for the treatment of distal tibial fractures in this study showed similar results. Our results are consistent with the results of the previous reports that compared the functional knee outcomes between the IP and SP surgical approaches [16,29]. However, our study demonstrated that the AOFAS score was significantly higher in the SP approach than in the IP approach.…”

Section: Discussionsupporting

confidence: 92%

Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures

Lu

¹

,

Wang²,

Hu

³

et al. 2020

Preprint

View full text Add to dashboard Cite

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.

show abstract

“…Evaluation on the basis of the Lysholm Knee Scoring Scale score of the IP and SP approaches for the treatment of distal tibial fractures in this study showed similar results. Our results are consistent with the results of the previous reports that compared the functional knee outcomes between the IP and SP surgical approaches [16,29]. However, our study demonstrated that the AOFAS score was signi cantly higher in the SP approach than in the IP approach.…”

Section: Discussionsupporting

confidence: 92%

Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures

Ma

¹

,

Lu

²

,

Wang

³

et al. 2020

Preprint

1

0

View full text Add to dashboard Cite

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.

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Suprapatellar nailing of fractures of the tibia

Cited by 21 publications

References 22 publications

Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures

Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures

Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures

Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures

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