A clinical study on postoperative knee pain following treatment of tibial shaft fracture by intramedullary nailing / 中华创伤骨科杂志

ABSTRACT

Objective To study the incidence and etiology of knee pain in patients with tibial shaft fracture after intramedullary nailing treatment. Methods From Jan 1997 to Dec 2002, 1332 patients with tibial shaft fracture were treated with intramedullary nailing in our hospital. Their clinical data were retrospectively studied. All the patients were followed up at least once after fracture healing, and the average clinical follow up duration was 27 months. Results 409 of the 1332 cases experienced knee pain. 31.9 percent of the patients treated with transtendinous nailing reported anterior knee pain, and 28.9 percent of the patients treated with paratendinous nailing reported knee pain. Conclusion Compared with the transpatellar tendon approach, the paratendinous approach for nail insertion does not reduce the incidence of anterior knee pain.