ABSTRACT
Background: Tibial medullary nails are largely inserted by a transpatellar tendon approach or medial parapatellar tendon approach in fracture of shaft of tibia. One of the common complication of the tibial nailing is anterior knee pain
Objective: To compare the mean knee pain between Medical Parapatellar Tendon approach and Trans Patellar Tendon approach in Tibial medullary nailing for tibial shaft fracture. Methodology: Study Design: Randomized controlled trial. Study Duration: From 16th November 2015 to 15th May 2017. Settings: Department of Orthopedics, Bahawal Victoria Hospital, Bahawalpur. A total of 60 patients of closed or type I open fractures of tibial shaft, in 20-60 years of age, of either gender were included. Patients were placed randomly into two groups. In groups A patients, tibial medullary nailing was done by the Medical Parapatellar Tendon approach [MPT] while in group B, Tibial medullary nailing [TMN] was done by Trans patellar tendon approach [TPT]. Follow up was regular post-operatively and final knee pain was measured at the end of 2nd week. Data was analyzed by using SPSS version 16
Results: The mean age of patients in group A was 38+/-11years and in group B was 38+/- 9years. Out of these, 60 patients, 45 [75%] were male and 15 [25%] were females with ratio of 3:1. Mean knee pain in Group A [MPT approach] was 4.47 +/- 1.53 while in Group B approach] was 6.30 +/- 1.57 [p-value = 0.000]
Conclusion: Mean knee pain was less after Medical Parapatellar Tendon approach as compared to approach in Tibial Medullary Nailing for treatment of Tibial shaft fracture