Cargando…

Difference in Pain, Complication Rates, and Clinical Outcomes After Suprapatellar Versus Infrapatellar Nailing for Tibia Fractures? A Systematic Review of 1447 Patients

OBJECTIVES: To assess the effectiveness of suprapatellar (SP)-nailing versus infrapatellar (IP)-nailing of tibia fractures in anterior knee pain, complications (retropatellar chondropathy, infection, and malalignment) and physical functioning and quality of life. A clinical question-driven and thoro...

Descripción completa

Detalles Bibliográficos
Autores principales: Bleeker, Nils Jan, Reininga, Inge H. F., van de Wall, Bryan J. M., Hendrickx, Laurent A. M., Beeres, Frank J. P., Duis, Kaj ten, Doornberg, Job N., Jaarsma, Ruurd L., Kerkhoffs, Gino M. M. J., IJpma, Frank F. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Journal of Orthopaedic Trauma 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253504/
https://www.ncbi.nlm.nih.gov/pubmed/34267147
http://dx.doi.org/10.1097/BOT.0000000000002043
_version_ 1783717527688314880
author Bleeker, Nils Jan
Reininga, Inge H. F.
van de Wall, Bryan J. M.
Hendrickx, Laurent A. M.
Beeres, Frank J. P.
Duis, Kaj ten
Doornberg, Job N.
Jaarsma, Ruurd L.
Kerkhoffs, Gino M. M. J.
IJpma, Frank F. A.
author_facet Bleeker, Nils Jan
Reininga, Inge H. F.
van de Wall, Bryan J. M.
Hendrickx, Laurent A. M.
Beeres, Frank J. P.
Duis, Kaj ten
Doornberg, Job N.
Jaarsma, Ruurd L.
Kerkhoffs, Gino M. M. J.
IJpma, Frank F. A.
author_sort Bleeker, Nils Jan
collection PubMed
description OBJECTIVES: To assess the effectiveness of suprapatellar (SP)-nailing versus infrapatellar (IP)-nailing of tibia fractures in anterior knee pain, complications (retropatellar chondropathy, infection, and malalignment) and physical functioning and quality of life. A clinical question-driven and thorough systematic review of current literature is provided. DATA SOURCE: PubMed and Embase databases were searched for studies published between 2010 and 2020 relating to SP and IP-nailing of tibia fractures. The study is performed in concordance with PRISMA-guidelines. STUDY SELECTION: Studies eligible for inclusion were randomized controlled trials, prospective and retrospective observational studies reporting on outcomes of interest. DATA EXTRACTION: Data extraction was performed independently by 2 assessors. Methodological quality and risk of bias was assessed according to the guidelines of the McMaster Critical Appraisal. DATA SYNTHESIS: Continuous variables are presented as means with SD and dichotomous variables as frequency and percentages. The weighted mean, standardized weighted mean differences, and 95% confidence interval were calculated. A pooled analysis could not be performed because of differences in outcome measures, time-points, and heterogeneity. RESULTS: Fourteen studies with 1447 patients were analyzed. The weighted incidence of anterior knee pain was 29% after SP-nailing and 39% after IP-nailing, without reported significance. There was a significant lower rate of malalignment after the SP-approach (4% vs. 26%) with small absolute differences in all planes. No substantial differences were observed in retropatellar chondropathy, infection, physical functioning, and quality of life. CONCLUSIONS: This systematic review does not reveal superiority of either technique in any of the respective outcomes of interest. Definitive choice should depend on the surgeon's experience and available resources. LEVEL OF EVIDENCE: Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.
format Online
Article
Text
id pubmed-8253504
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher Journal of Orthopaedic Trauma
record_format MEDLINE/PubMed
spelling pubmed-82535042021-07-08 Difference in Pain, Complication Rates, and Clinical Outcomes After Suprapatellar Versus Infrapatellar Nailing for Tibia Fractures? A Systematic Review of 1447 Patients Bleeker, Nils Jan Reininga, Inge H. F. van de Wall, Bryan J. M. Hendrickx, Laurent A. M. Beeres, Frank J. P. Duis, Kaj ten Doornberg, Job N. Jaarsma, Ruurd L. Kerkhoffs, Gino M. M. J. IJpma, Frank F. A. J Orthop Trauma Review Article OBJECTIVES: To assess the effectiveness of suprapatellar (SP)-nailing versus infrapatellar (IP)-nailing of tibia fractures in anterior knee pain, complications (retropatellar chondropathy, infection, and malalignment) and physical functioning and quality of life. A clinical question-driven and thorough systematic review of current literature is provided. DATA SOURCE: PubMed and Embase databases were searched for studies published between 2010 and 2020 relating to SP and IP-nailing of tibia fractures. The study is performed in concordance with PRISMA-guidelines. STUDY SELECTION: Studies eligible for inclusion were randomized controlled trials, prospective and retrospective observational studies reporting on outcomes of interest. DATA EXTRACTION: Data extraction was performed independently by 2 assessors. Methodological quality and risk of bias was assessed according to the guidelines of the McMaster Critical Appraisal. DATA SYNTHESIS: Continuous variables are presented as means with SD and dichotomous variables as frequency and percentages. The weighted mean, standardized weighted mean differences, and 95% confidence interval were calculated. A pooled analysis could not be performed because of differences in outcome measures, time-points, and heterogeneity. RESULTS: Fourteen studies with 1447 patients were analyzed. The weighted incidence of anterior knee pain was 29% after SP-nailing and 39% after IP-nailing, without reported significance. There was a significant lower rate of malalignment after the SP-approach (4% vs. 26%) with small absolute differences in all planes. No substantial differences were observed in retropatellar chondropathy, infection, physical functioning, and quality of life. CONCLUSIONS: This systematic review does not reveal superiority of either technique in any of the respective outcomes of interest. Definitive choice should depend on the surgeon's experience and available resources. LEVEL OF EVIDENCE: Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence. Journal of Orthopaedic Trauma 2021-08 2021-01-19 /pmc/articles/PMC8253504/ /pubmed/34267147 http://dx.doi.org/10.1097/BOT.0000000000002043 Text en Copyright © 2021 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Review Article
Bleeker, Nils Jan
Reininga, Inge H. F.
van de Wall, Bryan J. M.
Hendrickx, Laurent A. M.
Beeres, Frank J. P.
Duis, Kaj ten
Doornberg, Job N.
Jaarsma, Ruurd L.
Kerkhoffs, Gino M. M. J.
IJpma, Frank F. A.
Difference in Pain, Complication Rates, and Clinical Outcomes After Suprapatellar Versus Infrapatellar Nailing for Tibia Fractures? A Systematic Review of 1447 Patients
title Difference in Pain, Complication Rates, and Clinical Outcomes After Suprapatellar Versus Infrapatellar Nailing for Tibia Fractures? A Systematic Review of 1447 Patients
title_full Difference in Pain, Complication Rates, and Clinical Outcomes After Suprapatellar Versus Infrapatellar Nailing for Tibia Fractures? A Systematic Review of 1447 Patients
title_fullStr Difference in Pain, Complication Rates, and Clinical Outcomes After Suprapatellar Versus Infrapatellar Nailing for Tibia Fractures? A Systematic Review of 1447 Patients
title_full_unstemmed Difference in Pain, Complication Rates, and Clinical Outcomes After Suprapatellar Versus Infrapatellar Nailing for Tibia Fractures? A Systematic Review of 1447 Patients
title_short Difference in Pain, Complication Rates, and Clinical Outcomes After Suprapatellar Versus Infrapatellar Nailing for Tibia Fractures? A Systematic Review of 1447 Patients
title_sort difference in pain, complication rates, and clinical outcomes after suprapatellar versus infrapatellar nailing for tibia fractures? a systematic review of 1447 patients
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8253504/
https://www.ncbi.nlm.nih.gov/pubmed/34267147
http://dx.doi.org/10.1097/BOT.0000000000002043
work_keys_str_mv AT bleekernilsjan differenceinpaincomplicationratesandclinicaloutcomesaftersuprapatellarversusinfrapatellarnailingfortibiafracturesasystematicreviewof1447patients
AT reiningaingehf differenceinpaincomplicationratesandclinicaloutcomesaftersuprapatellarversusinfrapatellarnailingfortibiafracturesasystematicreviewof1447patients
AT vandewallbryanjm differenceinpaincomplicationratesandclinicaloutcomesaftersuprapatellarversusinfrapatellarnailingfortibiafracturesasystematicreviewof1447patients
AT hendrickxlaurentam differenceinpaincomplicationratesandclinicaloutcomesaftersuprapatellarversusinfrapatellarnailingfortibiafracturesasystematicreviewof1447patients
AT beeresfrankjp differenceinpaincomplicationratesandclinicaloutcomesaftersuprapatellarversusinfrapatellarnailingfortibiafracturesasystematicreviewof1447patients
AT duiskajten differenceinpaincomplicationratesandclinicaloutcomesaftersuprapatellarversusinfrapatellarnailingfortibiafracturesasystematicreviewof1447patients
AT doornbergjobn differenceinpaincomplicationratesandclinicaloutcomesaftersuprapatellarversusinfrapatellarnailingfortibiafracturesasystematicreviewof1447patients
AT jaarsmaruurdl differenceinpaincomplicationratesandclinicaloutcomesaftersuprapatellarversusinfrapatellarnailingfortibiafracturesasystematicreviewof1447patients
AT kerkhoffsginommj differenceinpaincomplicationratesandclinicaloutcomesaftersuprapatellarversusinfrapatellarnailingfortibiafracturesasystematicreviewof1447patients
AT ijpmafrankfa differenceinpaincomplicationratesandclinicaloutcomesaftersuprapatellarversusinfrapatellarnailingfortibiafracturesasystematicreviewof1447patients