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Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures
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 di...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7500032/ https://www.ncbi.nlm.nih.gov/pubmed/32943096 http://dx.doi.org/10.1186/s13018-020-01960-8 |
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author | Lu, Yao Wang, Gen Hu, Bin Ren, Cheng Sun, Liang Wang, Zhimeng He, Changjun Xue, Hanzhong Li, Zhong Zhang, Kun Ma, Teng Wang, Qian |
author_facet | Lu, Yao Wang, Gen Hu, Bin Ren, Cheng Sun, Liang Wang, Zhimeng He, Changjun Xue, Hanzhong Li, Zhong Zhang, Kun Ma, Teng Wang, Qian |
author_sort | Lu, Yao |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-7500032 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-75000322020-09-22 Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures Lu, Yao Wang, Gen Hu, Bin Ren, Cheng Sun, Liang Wang, Zhimeng He, Changjun Xue, Hanzhong Li, Zhong Zhang, Kun Ma, Teng Wang, Qian J Orthop Surg Res Research Article 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. BioMed Central 2020-09-17 /pmc/articles/PMC7500032/ /pubmed/32943096 http://dx.doi.org/10.1186/s13018-020-01960-8 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Lu, Yao Wang, Gen Hu, Bin Ren, Cheng Sun, Liang Wang, Zhimeng He, Changjun Xue, Hanzhong Li, Zhong Zhang, Kun Ma, Teng Wang, Qian Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures |
title | Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures |
title_full | Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures |
title_fullStr | Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures |
title_full_unstemmed | Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures |
title_short | Comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures |
title_sort | comparison of suprapatellar versus infrapatellar approaches of intramedullary nailing for distal tibia fractures |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7500032/ https://www.ncbi.nlm.nih.gov/pubmed/32943096 http://dx.doi.org/10.1186/s13018-020-01960-8 |
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