Correlation Of Anterior Knee Pain And Consequential Functional Outcome After Interlock Intramedullary Nailing Of Tibial Shaft Fractures

RAHUL AGARWAL; ANAND SHARMA

Volume : III, Issue : XI, November - 2014

Correlation Of Anterior Knee Pain And Consequential Functional Outcome After Interlock Intramedullary Nailing Of Tibial Shaft Fractures

Rahul Agarwal, Anand Sharma

Abstract :

Background –Intramedullary tibial nail needs to give a careful thought. Its correlation with chronic anterior knee pain seems to be crucial factor. Objectives & Aims – To establish the incidence, severity, clinical effects of anterior knee pain & evaluate the functional outcomes after intramedullary nailing of tibia. Methods & Material– This was a prospective study of 30 patients with tibial shaft fractures treated with intramedullary interlocking nail approachusing either transtendinous or medial paratendinous followed for minimum 12 months. Results– Anterior knee pain developed in 20 (67%) out of 30 patients. 80 % developed it within 6 months of surgery. 55% had mild pain, 25% moderate & 20% severe, with 90% patients experiencing pain on kneeling and 25% even at rest. . Conclusion – chronic anterior knee pain is the most common & significant postoperative complication after intramedullary nailing in tibial shaft fractures. The protrusion of nail in acceptable limits, does not have any be� on anterior knee pain.