Ultrasonographic comparison of bilateral patellar tendon dimensions in patients treated via intramedullary tibial nailing using a transpatellar approach

Erinç, Samet; Esenkaya, Irfan; Poyanlı, Oğuz; Ozturan, Burak; Ayaz, Muzaffer; Öztürk, Afşar Timuçin

doi:10.1016/j.aott.2018.07.008

Cited by 5 publications

(3 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Obremsky et al reported a 48% incidence of anterior knee pain following IMN in their study [17]. Similarly, Erinç et al found that 46.2% of patients experienced this pain in their local study [18]. In our study, only 19 out of 57 patients who underwent tibial IMN reported anterior knee pain, accounting for 33.3% of the sample population.…”

Section: Discussionsupporting

confidence: 53%

Can Anterior Knee Pain Be Explained by Patella Position After Infrapatellar Tibia Intramedullary Nailing?

Gencer,

Yiğit,

Çamoğlu

et al. 2023

Cureus

View full text Add to dashboard Cite

Objective: The objective of this study is to investigate the postoperative position of the patella and its relationship with anterior knee pain in patients operated with infrapatellar reamed tibia intramedullary nailing (IMN).Materials and methods: Patients who underwent tibia IMN between 2019 and 2022 and who had anterior knee pain in their postoperative follow-up at least two outpatient clinic controls with an interval of at least one month were examined. Patellar height indices (Insall-Salvati, Blackburne-Peel, Caton-Deschamps, and modified Insall-Salvati) and sagittal angulation (patella-patellar tendon angles) were measured on the lateral direct radiographs of the patients in semi-flexion. As a control group, measurements were made on the contralateral intact extremity radiographs of the same patients.Results: There was no significant difference in patellar height indices between the fractured and intact sides in any of the patients (p = 0.588; p = 0.747; p = 0.446; p = 0.573, respectively). When the sagittal angulations were analyzed, a significant difference was found between the fractured and intact sides of the patients (p = 0.048), resulting in an approximate three-degree change.Conclusion: Patellar sagittal balance has been identified as one of the contributing factors to the development of anterior knee pain following reamed tibial IMN. Further biomechanical and comprehensive clinical studies are needed on this subject.

show abstract

Section: Discussionsupporting

confidence: 53%

Can Anterior Knee Pain Be Explained by Patella Position After Infrapatellar Tibia Intramedullary Nailing?

Gencer,

Yiğit,

Çamoğlu

et al. 2023

Cureus

View full text Add to dashboard Cite

show abstract

“…Firstly, knee pain is common in patients who undergo IMN fixation for tibial shaft fractures. 29,30 In the present study, the average VAS at 1 month postoperative was 1.8 in MITR group, which is significantly lower than that of the conventional manual traction group with 2.8 (P<0.001). Secondly, although we did not observe the faster fracture healing process in the MITR group, the application of MITR resulted in a higher HSS score (90.8 vs 86.4, P<0.001).…”

contrasting

confidence: 50%

Use of a Minimally Invasive Traction Repositor versus Conventional Manual Traction for the Treatment of Tibial Fractures: A Comparative Study from a Tertiary Hospital in China

Zha¹,

Zhang²,

Wang³

et al. 2022

TCRM

View full text Add to dashboard Cite

Background Closed reduction and intramedullary nail fixation of tibial fractures may not utilize a fracture table or reduction aids like a femoral distractor, and only manual traction will help aid the reduction process. This study aimed to describe and further investigate the effectiveness of an originally designed minimally invasive traction repositor (MITR) for the treatment of tibial fractures. Methods From January 2018 to April 2021, a total of 119 eligible patients with tibial shaft fractures were included and retrospectively assigned to two groups according to different reduction methods: MITR group vs conventional manual traction (CMT) group. The baseline characteristics between the two groups were comparable, including age, gender, BMI, residence, smoking history, drinking history, injury mechanism, fracture type, ASA, method of anesthesia, and surgical delay (all P > 0.05). The operation time, fracture reduction duration, intraoperative blood loss, fluoroscopy time, number of intraoperative fluoroscopies, VAS, HSS, fracture healing time, and complications were compared. Results All patients completed the follow-ups with an average of 18.5 months (range 12–42 months). The operation time, fracture reduction duration, intraoperative blood loss, fluoroscopy time, and number of fluoroscopies were significantly decreased in the MITR group (all P < 0.05). At one month postoperatively, the VAS score was statistically lower in the MITR group (1.8±0.8) than in the CMT group (2.6±1.5). At 6 months postoperatively, the HHS score was statistically higher in the MITR group (90.8±2.3) than in the CMT group (86.4±3.8). We observed no statistical difference in the mean fracture healing time, bone nonunion, implant failure, and infection between the two groups (all P > 0.05). Conclusion Compared with CMT, MITR facilitates the minimally invasive treatment of tibial fractures and has the advantages of operation time, fracture reduction duration, intraoperative blood loss, fluoroscopy time, number of fluoroscopies, and satisfactory VAS and HSS scores.

show abstract

“…Therefore, the thicker and wider tendon is less related to knee pain. 24 Very scarce literature has been observed regarding the nail tip positioning during IM/IL, which can result in lesser anterior knee pain. This study bridges this gap in literature contributing to the knowledge about the nail tip positioning for tibial shaft fractures resulting in less pain and morbidity.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Effects of Different Nail Tip Positions on Anterior Knee Pain After Intramedullary Interlocking Nailing for Tibial Shaft Fractures

Hassan

Anwar

Hassan³

et al. 2021

PAFMJ

View full text Add to dashboard Cite

Objective: To determine the frequency of anterior knee pain after intramedullary interlocking nailing in tibial shaft fractures and to compare the intensity of anterior knee pain between positive and negative anterior cortex nail groups.Study Design: Quasi-experimental study. Place and Duration of Study: Department of Orthopaedic Surgery, Combined Military Hospital Rawalpindi, from Oct 2018 to Apr 2019. Methodology: 100 cases of tibial shaft fracture were divided into two groups according to anterior cortex nail distance. Patients 18-40 years of age of both genders, closed fractures, Gustilo Andersen I open tibial diaphyseal fractures and nail tip more than 5mm from tibial tuberosity were included. Patients with osteoarthritis, pathological fractures, renal disease, open fracture GA-II & GA-III and knee instability were excluded from the study. Both groups with positive and negative anterior cortex nail distance were compared for pain using the chi-square test. Results: Frequency of anterior knee pain after intramedullary interlocking nailing in tibial shaft fractures was found in 24% of patients. 8 (16%) out of 50 patients in the group with nail tip deep to anterior cortex had anterior knee pain while 16 (32%) out of 50 patients in the group with nail tip protruding from anterior cortex suffered anterior knee pain (p-value = 0.061). Conclusion: Intramedullary interlocking nailing in tibial shaft fractures with nail tip deep to anterior cortex showed less pain as compared to nail tip protruding from anterior cortex although it was not statistically significant.

show abstract

Ultrasonographic comparison of bilateral patellar tendon dimensions in patients treated via intramedullary tibial nailing using a transpatellar approach

Abstract: Level IV, therapeutic study.

Cited by 5 publications

References 20 publications

Can Anterior Knee Pain Be Explained by Patella Position After Infrapatellar Tibia Intramedullary Nailing?

Can Anterior Knee Pain Be Explained by Patella Position After Infrapatellar Tibia Intramedullary Nailing?

Use of a Minimally Invasive Traction Repositor versus Conventional Manual Traction for the Treatment of Tibial Fractures: A Comparative Study from a Tertiary Hospital in China

Comparison of Effects of Different Nail Tip Positions on Anterior Knee Pain After Intramedullary Interlocking Nailing for Tibial Shaft Fractures

Contact Info

Product

Resources

About