Downloads: 0 | Views: 15
Research Paper | Orthopaedic Surgery | India | Volume 13 Issue 11, November 2024 | Popularity: 3.7 / 10
A Study in Management of Fracture Shaft of Tibia by Intramedullary Nailing by Suprapatellar Approach
Dr. K Vignesh, Dr. Prakash A Sasnur
Abstract: Background: Tibial shaft fractures are common and often result from high - energy trauma. Suprapatellar intramedullary (IM) nailing is increasingly favoured for its ability to facilitate fracture reduction, particularly in proximal tibial fractures. Concerns about anterior knee pain and patellofemoral cartilage damage persist. Objective: To assess the functional outcomes, union times, and complications of suprapatellar IM nailing in tibial shaft fractures. Methods: This prospective study included 20 patients treated with suprapatellar IM nailing at Al Ameen Medical College and Hospital from July 2022 to July 2024. Patients were selected based on age (?15 years) and fracture type (closed or Gustilo - Anderson Type I open fractures). Functional outcomes were evaluated using the Lysholm Knee Scoring Scale, while the radiological union was tracked via X - rays at regular intervals over an average follow - up period of 11.5 months. Results: The study included 14 males and 6 females, with an average age of 44 years. The radiological union was achieved in 85% of patients within 16 weeks, with a mean union time of 12.5 weeks. One patient experienced delayed union (26 weeks). Anterior knee pain occurred in 2 patients (10%) but did not significantly affect daily activities. No infections or implant failures were noted. Overall, 70% of patients had excellent functional outcomes, and 30% had good results. Conclusions: Suprapatellar IM nailing is effective for treating tibial shaft fractures, particularly in the proximal third, with excellent functional outcomes and minimal complications.
Keywords: suprapatellar tibial nailing, tibial shaft fracture, functional outcome, complications, intramedullary nailing
Edition: Volume 13 Issue 11, November 2024
Pages: 124 - 126
Make Sure to Disable the Pop-Up Blocker of Web Browser
Similar Articles
Downloads: 97 | Weekly Hits: ⮙1 | Monthly Hits: ⮙1
Research Paper, Orthopaedic Surgery, Kuwait, Volume 5 Issue 5, May 2016
Pages: 1045 - 1048New Concept of Delayed Open Reduction and Internal Fixation of Closed Recent Intra-articular Calcaneal Fractures
Mohamed M. Abd El-Monem Gafar, Mustafa Taha Al-Akkad, Ahmed Mostafa
Downloads: 0
Comparative Studies, Orthopaedic Surgery, India, Volume 13 Issue 2, February 2024
Pages: 671 - 673Comparison of Platelet Rich Plasma and Steroid Injection in the Treatment of Plantar Fasciitis
Dr. Sayan Chakrabarty
Downloads: 1
Research Paper, Orthopaedic Surgery, India, Volume 10 Issue 11, November 2021
Pages: 907 - 910Results of Management of Radial Head Fractures by Internal Fixation and Conservative Management: A Study of 30 Cases
Dr. Ravi Kumar Bhesaniya, Dr. Zalakkumar Patel
Downloads: 1
Research Paper, Orthopaedic Surgery, India, Volume 10 Issue 10, October 2021
Pages: 849 - 852Results of Operative Management of Radial Head Fractures by Internal Fixation - A Study of 25 Cases
Zalakkumar Patel, Ravikumar Bhesaniya, Nikunj Maru
Downloads: 1
Research Paper, Orthopaedic Surgery, Malaysia, Volume 11 Issue 1, January 2022
Pages: 513 - 519Comparison between Cortical Button versus Interference Screw Fixation for Anterior Cruciate Ligament Reconstruction using Quadrupled Hamstring Tendon Graft: A Clinical Performance Analysis
Vicknesh Anandan, Chanakarn Phornphuktul