Decrease surgery time by using an alternative lateral parapatellar approach for tibia shaft fracture nailing

Ladurner, Andreas; Acklin, Yves P.; Mueller, Thomas S.; Sommer, Christoph

doi:10.1007/s00402-019-03154-2

Cited by 7 publications

(2 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the literature, it has been shown that the lateral parapatellar approach is associated with a decrease in the duration of surgery and the number of fluoroscopy shots. [ 25 ] In our study, no comparison was made between the two groups in terms of the duration of surgery. On the literature, Çamurcu et al[ 12 ] found that the operation time was three times shorter than the distal locking screw group.…”

Section: Discussionmentioning

confidence: 99%

Which is superior in the treatment of AO type 42A tibial shaft fracture? A comparison of talon intramedullary nailing and conventional locked intramedullary nailing

Tekin¹

2021

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND: This study aimed to compare the clinical and radiological outcomes of conventional locked intramedullary nailing (IMN) and talon IMN in AO Type 42A tibial fractures. METHODS: A total of 93 patients with AO Type 42A fracture were retrospectively analyzed. The patients were divided into two groups: Those treated with conventional IMN (Group 1), and those treated with talon distal locked nailing (Group 2). The patients were statistically compared in terms of age, sex, mechanism of injury, follow-up time, time to union, smoking status, presence of open fracture, presence of concomitant fibula fracture, development of malunion and nonunion, and the number of intraoperative fluoroscopy shots captured. All patients were evaluated with American Orthopaedic Foot and Ankle Society and Tegner Lysholm scores for clinical outcomes. RESULTS: A total of 93 patients (68 men and 35 women) participated in the study. Group 1 consisted of 35 (71.4%) men and 14 (28.6%) women, a total of 49 patients, while Group 2 consisted of 33 (75%) men and 11 (25%) women, a total of 44 patients. There were no significant differences between the two groups in terms of age, sex, mechanism of injury, follow-up times, smoking status, concomitant fibula fracture, presence of malunion, and presence of open fracture (p>0.05). However, there were significant differences between both groups in terms of time to union, nonunion rate, and the number of fluoroscopy shots captured (p<0.05). American Orthopaedic Foot and Ankle Society and Tegner Lysholm score were analyzed and compared, no statistically differences were found (p=0.786 and p=0.764). CONCLUSION: Although talon IMN reduces radiation exposure, locked conventional IMN has lower nonunion rates and achieves union faster.

show abstract

Section: Discussionmentioning

confidence: 99%

Which is superior in the treatment of AO type 42A tibial shaft fracture? A comparison of talon intramedullary nailing and conventional locked intramedullary nailing

Tekin¹

2021

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…In individuals with displaced tibial shaft fractures, intramedullary nailing is the treatment of choice. Infection, compartment syndrome, deep-vein thrombosis, thermal necrosis of the bone with changes of its endosteal architecture, failure of the metalwork, malunion and nonunion of the fracture, and persistent anterior knee discomfort have all been reported as consequences [ 6 , 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of Medial Parapatellar and Transpatellar Tendon Approach in Intramedullary Interlocking Nailing for Tibial Fracture: A Retrospective Analysis

Khan

Hafeez²,

Faraz

et al. 2021

Cureus

View full text Add to dashboard Cite

Introduction Tibial fractures are one of the most common traumatic fractures, particularly in automobile accidents. Percutaneous reduction with conventional reduction forceps and un reamed intramedullary nailing, transpatellar, and medial parapatellar tendon approaches are all used, but tibial intramedullary nails are still primarily inserted through a transpatellar tendon splitting or medial parapatellar tendon approach. Objective The aim and objectives of this study are to assess the mean pain score after nailing for a tibial fracture using a medial parapatellar versus a transpatellar tendon method retrospectively in order to enhance operational planning. Materials and methods This is a retrospective study that took place in a UK level 1 trauma center. Data from 60 patients were included between February 2019 and February 2020. An equal number of patients were selected for both approaches to maintain accuracy. The advanced trauma life support (ATLS) protocol was used to handle all of the patients in both groups in order to rule out any other injuries or fractures, after which they were scheduled for surgery after stabilization. They were subsequently evaluated during a three-month follow-up in an outdoor clinic, where they were given a pain score using the visual analogue score (VAS) while moving their knee joints. The mean pain score was differentiated by age, gender, body mass index (BMI), injury side, and injury type. Results Patients were divided into groups based on their ages. Patients in the transpatellar tendon group were 32.83±5.13 years old, whereas those in the medial parapatellar tendon group were 31.4 ±5.42 years old. The gender distribution of the patients revealed that the majority of the patients in both groups were male. In both groups, the left side was the most usually affected. The difference between the two groups' mean pain scores at three months was substantially lower in the medial parapatellar approach (p=0.005). Conclusion For patients having intramedullary nailing for tibial fractures, the medial parapatellar route is associated with a lower mean pain score than the transpatellar route. As a result, we may use this method in these individuals regularly.

show abstract

Intramedullary tibia nailing with external fixation

Park

Moon

Lee

et al. 2020

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

Decrease surgery time by using an alternative lateral parapatellar approach for tibia shaft fracture nailing

Cited by 7 publications

References 21 publications

Which is superior in the treatment of AO type 42A tibial shaft fracture? A comparison of talon intramedullary nailing and conventional locked intramedullary nailing

Which is superior in the treatment of AO type 42A tibial shaft fracture? A comparison of talon intramedullary nailing and conventional locked intramedullary nailing

Comparison of Medial Parapatellar and Transpatellar Tendon Approach in Intramedullary Interlocking Nailing for Tibial Fracture: A Retrospective Analysis

Intramedullary tibia nailing with external fixation

Contact Info

Product

Resources

About