Journal of Musculoskeletal Trauma

Original Articles

Anterior Knee Pain after Intramedullary Nailing for Tibial Shaft Fractures: Suk Kyu Choo, Hyoung Keun Oh, Hyun Woo Choi, Jae Gwang Song; J Korean Fract Soc 2011;24(1):28-32. Published online January 31, 2011; DOI: https://doi.org/10.12671/jkfs.2011.24.1.28

PURPOSE
To analyze the possible causes and incidence of the chronic anterior knee pain follow after closed intramedullary nailing for the tibial shaft fractures, in a retrospective aspect.
MATERIALS AND METHODS
52 patients who treated with intramedullary nailing for the tibial shaft fractures from January 2001 to October 2008 were reviewed. We analyzed the relationship between knee pain and the variables (sex, age, types of fracture, protrusion extent of intramedullary nailing on proximal tibia). The aspects of pain, its onset and relieving time, and how much it influences on daily living were analyzed retrospectively. For categorical variables, group variences were estimated using Chi-square test.
RESULTS
34 patients of 52 (65%) complaint of anterior knee pain followed after intramedullary nailing, and there were no statistical differences between pain and sex/age (p>0.05). Incidence of anterior knee pain becomes higher as the severity of fracture increases, but there was no statistical difference between pain and intramedullary nailing protrusion. Pain severity was mostly not influencing on daily living, and it mostly responded to conservative treatment.
CONCLUSION
The incidence of anterior knee pain followed after intramedullary nailing was 65%, and its severity was mostly not influencing on daily living. There were no significant differences between pain and sex, age, protrusion extent of intramedullary nailing on proximal tibia, but as the severity of frature increases, the incidence of anterior knee pain became higher.

Citations

Citations to this article as recorded by

Pain in Anterior Knee after Locked Nailing of Diaphyseal Tibia Fractures
V. V. Pisarev
Traumatology and Orthopedics of Russia.2020; 26(1): 85. CrossRef
Stress fractures of the tibia
Jung Min Park, Ki Sun Sung
Arthroscopy and Orthopedic Sports Medicine.2015; 2(2): 95. CrossRef
Tension Band Plating for a Stress Fracture of the Anterior Tibial Cortex in a Basketball Player - A Case Report -
Chul Hyun Park, Woo Chun Lee
Journal of the Korean Fracture Society.2012; 25(4): 323. CrossRef

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Knee Pain Analysis After Tibia Intramedullary Nailing: Kwang Won Lee, Jong Won Kang, Seung Hun Lee, Ha Yong Kim, Won Sik Choy; J Korean Soc Fract 2001;14(2):278-284. Published online April 30, 2001; DOI: https://doi.org/10.12671/jksf.2001.14.2.278

Abstract PDF

PURPOSE
To analyze the incidence and clinical and radiological results of anterior knee pain following tibial intramedullary nailing.
MATERIALS AND METHODS
From January 1995 to April 1999, we retrospectively analyzed in 122 patients with tibial fracture who were treated by closed intramedullary nailing. All of 125 cases analyzed the age and sex distribution, mechanism of injury, fracture morphology, relationship of nail position on radiographs to knee pain and relationship of knee pain to the incision methods of patella tendon. Anterior knee pain was assessed with a 10-point analogue scale. Statistical analysis was performed using paired T-test.
RESULTS
At a mean follow-up period of thirty-eight months(12-64 months), sixtynine( 56%) patients(70 of 125 knees) had developed anterior knee pain. Insertion of the nail through the patella tendon splitting incision was associated with a higher incidence of knee pain compared to the paratendon site of nail insertion(62% and 35% respectively). According to the radiological analysis, the mean extent of nail protrusion of 122 patients was -1.4mm and the average nail protrusion of 69 patients with knee pain was 1.3mm respectively. Nail removal resolved or improved the symptoms in 69%.
CONCLUSION
Based on these data, we would recommend a parapatella tendon incision for nail insertion, and nail removal for those patients with a painful knee after bony union.

Citations

Citations to this article as recorded by

Alteration of the Patella Tendon Length after Intramedullary Nail in Tibial Shaft Fractures
Dong-Eun Shin, Ki-Shik Nam, Jin-Young Bang, Ji-Hoon Chang
Journal of the Korean Fracture Society.2012; 25(4): 283. CrossRef
Anterior Knee Pain after Intramedullary Nailing for Tibial Shaft Fractures
Suk-Kyu Choo, Hyoung-Keun Oh, Hyun-Woo Choi, Jae-Gwang Song
Journal of the Korean Fracture Society.2011; 24(1): 28. CrossRef

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