Comparison of three different approaches for anterior knee pain after tibia intramedullary nailing

Abstract

Level 3 case-control study.

Infrapatellar versus suprapatellar approach for intramedullary nailing of the tibia: a systematic review and meta-analysis

“…However, it is difficult to conclude superiority of suprapatellar approach in terms of less post-operative pain as only 3 out of 12 studies used similar pain scoring systems [7,15,18]. Few other studies did mention about knee pain, but, unfortunately, they could not be included in our analysis due to insufficient reported data [17,21,23]. Macdonald et al [21] suggest a lesser anterior knee pain in the SP group at 4 months post-operatively whereas there was no significant difference between IP and SP groups according to Ozcan et al and Cui et al [17,23].…”

“…With regards to functional outcome, articles using HSS score or Kujala score or Oxford knee score have shown no difference in between the approaches, but 4 of the studies [7,15,21,23] which used Lyslohm knee score have demonstrated significantly better functional outcome in the suprapatellar group at 12 months. Undoubtedly improved post-operative pain positively impacts the ability to rehabilitate; the improved functional scores observed with the suprapatellar group are therefore likely to be attributable to the lower pain scores recorded.…”

“…Post-operative knee function was assessed with the Lysholm knee score in four studies [7,15,21,23]. the Hospital for Special Knee Surgery Score (HSS) in 2 studies [17,20], Kujala Knee Score in 2 studies [19,23] and Oxford Knee Score (OKS) in one study [16]. Pain scores assessed by Sun [7,15,18].…”

“…The operation time was reported in 4 studies (n = 104) with a lowest level of heterogeneity (I 2 = 0%) [16,17,20,23]. The difference between SP and IP group is not statistically significant (Fig.…”

“…Post-operative knee function was assessed with the Lysholm knee score in four out of eight studies [7,15,21,23], and the results show that there is moderate heterogeneity with better functional outcomes in SP group at 12 months. The studies with outcomes of HSS score, Kujala score, and Oxford knee score were unable to show any superiority of SP group (Fig.…”