Anterior Knee Pain After Tibial Nailing

NCT01106963 | Completed

• 1 other identifier: AKP
• Study Type: observational
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Anterior knee pain (AKP) is a common complication following intramedullary (IM) nailing of a tibial shaft fracture. The purpose of this prospective study was to determine if there is an association between AKP and nail position. The investigators have analyzed postoperative outcome results and the possible relationship between AKP according to the visual-analog scale (VAS) scale, and nail position marked as a distance from the tip of the nail to the tibial plateau (NP) and tuberositas tibiae (NT), measured postoperatively on L-L knee X-rays.

Conditions

Knee Pain

Keywords

knee; tibial fractures; pain; osteosynthesis; intramedullary nailing

Outcome Measures

Primary Outcomes (1)

• Anterior knee pain

  Anterior knee pain was assessed postoperatively with the visual analog scale (VAS). Patients generally had pain when kneeling, at the insertion point of surgical screws, or at the back of knee upon flexing.

  1 year

Study Arms (1)

Tibial shaft fractures

Patients had tibial shaft fractures in the last 3 years. All were treated with intramedullary (IM) reamed nails with 2 or 3 interlocking screws.

Procedure: Tibial intramedullary nailing

Interventions

Tibial intramedullary nailing PROCEDURE

Patients' operations were performed using the peritendinous approach. A medial longitudinal incision was made, with care being taken not to damage the patellar tendon or its sheath. Standard proximal and distal locking screws were used. All patients were given postoperative instructions for thigh muscle rehabilitation and the same physiotherapy was performed after IM nailing during hospitalization. Nails were removed from some of the patients with the presence of knee pain or pain at the insertion points of the locking screws, however, no nails were removed earlier than one year postoperatively. Proof of the healed bone fracture was confirmed by radiologic examination.

Also known as: tibial fractures, intramedullary nailing

Tibial shaft fractures

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

The population consists of primary care hospital trauma patients with tibial shaft fractures treated with intramedullary nailing.

You may qualify if:

• tibial shaft fractures
• fracture treatment with intramedullary nailing with 2 or 3 interlocking screws on both ends of the nail

You may not qualify if:

• amputated legs

Sponsors & Collaborators

• University of Zagreb: lead

Study Sites (1)

University of Zagreb School of Medicine, Department of Traumatology

Zagreb, 10000, Croatia

Location

MeSH Terms

Conditions

Tibial Fractures; Pain

Interventions

Fracture Fixation, Intramedullary

Condition Hierarchy (Ancestors)

Fractures, Bone; Wounds and Injuries; Leg Injuries; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Fracture Fixation, Internal; Fracture Fixation; Orthopedic Procedures; Therapeutics; Surgical Procedures, Operative

Study Officials

• Nikica Darabos, MD, PhD

  University of Zagreb School of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: April 14, 2010
• First Posted: April 20, 2010
• Study Start: January 1, 2006
• Primary Completion: December 1, 2009
• Study Completion: December 1, 2009
• Last Updated: April 20, 2010

Record last verified: 2010-04

Locations

CR (1)