The Severity and Prediction of Anterior Knee Pain Post Tibial Nail Insertion

Cartwright-Terry, Matthew; Snow, Martyn; Nalwad, H.

doi:10.1097/bot.0b013e3180caa138

Cited by 28 publications

(21 citation statements)

References 26 publications

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“…Multiple studies with small cohorts have reported on knee pain associated with tibia fractures with incidence and severity ranging greatly. 1,3-6, 8, 15-18-25 Court-Brown et al followed one of the largest series of 169 patients and found a 56% incidence of knee pain 1 . However, the study included mild pain in the total percent of patients with pain.…”

Section: Discussionmentioning

confidence: 99%

Character, Incidence, and Predictors of Knee Pain and Activity After Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture

Obremskey

Agel

Archer

et al. 2016

Journal of Orthopaedic Trauma

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Objective To study the activity and incidence of knee pain after sustaining a isolated tibia fracture treated with an infrapatellar intramedullary nail at one year. Design Retrospective review of prospective cohort Setting Multicenter Academic and Community hospitals Patients 437 patients with an isolated tibia fracture completed a 12 month assessment on pain and self-reported activity. Intervention Infrapatellar Intramedullary Nail Outcomes Demographic information co-morbid conditions, injury characteristics, and surgical technique were recorded. Knee pain was defined on a 1-7 scale with 1 being “no pain” and 7 being a “very great deal of pain.” Knee pain > 4 was considered clinically significant. Patients reported if they were “able”, “able with difficulty” or “unable” to perform the following activities: kneel, run, climb stairs, and walk prolonged. Variables were tested in multilevel multivariable regression analyses. Results Knee Pain: 11% percent of patients reported a “good deal” to a “very great deal” of pain (> 4). 52% of patients reported “no” or “very little” pain at 12 months. Activity at 12 months: 26% and 29% of patients were unable to kneel or run, respectively. 31% and 35% of patients respectively stated they were able with difficulty or unable to use stairs or walk. Conclusion Clinically significant knee pain (>4/7) was present in 11% of patients one year after a tibia fracture. 31%-71% of patients had difficulty performing or were unable to perform routine daily activities of kneeling, running, and stair climbing or walking prolonged distances.

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Section: Discussionmentioning

confidence: 99%

Character, Incidence, and Predictors of Knee Pain and Activity After Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture

Obremskey

Agel

Archer

et al. 2016

Journal of Orthopaedic Trauma

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“…This is an important unresolved question that requires a different study design to address. Related to this, many survey studies in orthopaedic surgery evaluate the effects of major surgical interventions [2,5,10,15,17,23,26,27,33]; ours evaluated a mixed cohort of patients, many of whom had minor interventions or no intervention apart from the office visit. It is difficult to estimate what influence this difference might introduce on our results.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated With Survey Response in Hand Surgery Research

Bot

Anderson

Neuhaus

et al. 2013

Clinical Orthopaedics &Amp; Related Research

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Background A low response rate is believed to decrease the validity of survey studies. Factors associated with nonresponse to surveys are poorly characterized in orthopaedic research. Questions/purposes This study addressed whether (1) psychologic factors; (2) demographics; (3) illness-related factors; and (4) pain are predictors of a lower likelihood of a patient returning a mailed survey. Methods One hundred four adult, new or return patients completed questionnaires including the Pain Catastrophizing Scale, Patient Health Questionnaire-9 depression scale, Short Health Anxiety Index, demographics, and a pain scale (0-10) during a routine visit to a hand and upper extremity surgeon. Of these patients, 38% had undergone surgery and the remainder was seen for various other conditions. Six months after their visit, patients were mailed the DASH questionnaire and a scale to rate their satisfaction with the visit (0-10). Bivariate analysis and logistic regression were used to determine risk factors for being a nonresponder to the followup of this study. The cohort consisted of 57 women and 47 men with a mean age of 51 years with various diagnoses. Thirty-five patients (34%) returned the questionnaire. Responders were satisfied with their visit (mean satisfaction, 8.7) and had a DASH score of 9.6.

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“…Many factors like damage to articular surface and meniscus, injury to the infrapatellar branch of the saphenous nerve, infrapatellar fat pad, nail prominence, thigh muscle weakness, and small plateau width contribute to the pain 4,11 . Incidence of anterior knee pain has been noted between 31% to 86% in various studies [13][14][15][16][17][18][19][20] . Fourty-two patients (41%) developed anterior knee pain in this study which is comparable to other similar studies.…”

Section: Discussion:-mentioning

confidence: 99%