Comparison of trans patellar approach and medial parapatellar tendon approach in tibial intramedullary nailing for treatment of tibial fractures

Alireza Sadeghpour, Reza Mansour, Hossein Akbari Aghdam, Mohamad Goldust
To evaluate the post-operative complications of intramedullary nailing technique by transpatellar approach compared to medial parapatellar approach. Fifty patients with tibial fractures treated by intramedullary nailing through two transpatellar (t-group) and medial parapatellar (p-group) approaches were studied. Knee pain was assessed with visual analogue scale (VAS) for 2 weeks, 1, 3 and 6 months and range of motion (ROM) in 2 weeks and 3 months after surgery. There were 23 males and 2
more » ... males and 2 females with a mean age of 28.68 +/- 5.78 years in t-group and 21 males and 4 females with a mean age of 28.80 +/- 5.82 in p-group. There was significant difference in knee pain score after 3 months (p = 0.013) and 6 months (p = 0.009) between the two study groups (p-group had less pain than t-group). But there was not significant difference between the two study groups in range of motion after 2 weeks and 3 months of surgery. Our study recommends medial parapatellar tendon approach, although both approaches are safe.
pmid:22204203 fatcat:x3j62ivmmfawnaqzhkezcoofau