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Original Article
- Anterior Knee Pain after Intramedullary Nailing for Tibial Shaft Fractures
- Suk-Kyu Choo, M.D., Hyoung-Keun Oh, M.D., Hyun-Woo Choi, M.D., Jae-Gwang Song, M.D.
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Journal of the Korean Fracture Society 2011;24(1):28-32.
DOI: https://doi.org/10.12671/jkfs.2011.24.1.28
Published online: January 19, 2011
Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
- Address reprint requests to: Hyoung-Keun Oh, M.D. Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 2240, Daehwa-dong, Ilsanseo-gu, Goyang 411-706, Korea. Tel: 82-31-910-7968·Fax: 82-31-910-7967, osd11@paik.ac.kr
• Received: April 26, 2010 • Revised: June 29, 2010 • Accepted: October 20, 2010
Copyright © 2011 The Korean Fracture Society
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Abstract
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Purpose
- To analyze the possible causes and incidence of the chronic anterior knee pain follow after closed intramedullary nailing for the tibial shaft fractures, in a retrospective aspect.
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Materials and Methods
- 52 patients who treated with intramedullary nailing for the tibial shaft fractures from January 2001 to October 2008 were reviewed. We analyzed the relationship between knee pain and the variables (sex, age, types of fracture, protrusion extent of intramedullary nailing on proximal tibia). The aspects of pain, its onset and relieving time, and how much it influences on daily living were analyzed retrospectively. For categorical variables, group variences were estimated using Chi-square test.
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Results
- 34 patients of 52 (65%) complaint of anterior knee pain followed after intramedullary nailing, and there were no statistical differences between pain and sex/age (p>0.05). Incidence of anterior knee pain becomes higher as the severity of fracture increases, but there was no statistical difference between pain and intramedullary nailing protrusion. Pain severity was mostly not influencing on daily living, and it mostly responded to conservative treatment.
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Conclusion
- The incidence of anterior knee pain followed after intramedullary nailing was 65%, and its severity was mostly not influencing on daily living. There were no significant differences between pain and sex, age, protrusion extent of intramedullary nailing on proximal tibia, but as the severity of frature increases, the incidence of anterior knee pain became higher.
- 1. Alho A, Ekeland A, Strømsøe K, Follerås G, Thoresen BO. Locked intramedullary nailing for displaced tibial shaft fractures. J Bone Joint Surg Br, 1990;72:805-809.
- 2. Bhattacharyya T, Seng K, Nassif NA, Freedman I. Knee pain after tibial nailing: the role of nail prominence. Clin Orthop Relat Res, 2006;449:303-307.
- 3. Bone LB, Kassman S, Stegemann P, France J. Prospective study of union rate of open tibial fractures treated with locked, unreamed intramedullary nails. J Orthop Trauma, 1994;8:45-49.
- 4. Court-Brown CM, Christie J, McQueen MM. Closed intramedullary tibial nailing Its use in closed and type I open fractures. J Bone Joint Surg Br, 1990;72:605-611.
- 5. Court-Brown CM, Gustilo T, Shaw AD. Knee pain after intramedullary tibial nailing: its incidence, etiology, and outcome. J Orthop Trauma, 1997;11:103-105.
- 6. Hooper GJ, Keddell RG, Penny ID. Conservative management or closed nailing for tibial shaft fractures. A randomised prospective trial. J Bone Joint Surg Br, 1991;73:83-85.
- 7. Keating JF, O'Brien PJ, Blachut PA, Meek RN, Broekhuyse HM. Locking intramedullary nailing with and without reaming for open fractures of the tibial shaft. A prospective, randomized study. J Bone Joint Surg Am, 1997;79:334-341.
- 8. Keating JF, Orfaly R, O'Brien PJ. Knee pain after tibial nailing. J Orthop Trauma, 1997;11:10-13.
- 9. Koval KJ, Clapper MF, Brumback RJ, et al. Complications of reamed intramedullary nailing of the tibia. J Orthop Trauma, 1991;5:184-189.
- 10. Lee KB, Jung ST, Joo DC, Lee JJ. A comparison of reamed and unreamed interlocking intramedullary nailing for closed fractures of the tibia shaft. J Korean Soc Fract, 2000;13:515-521.
- 11. Lee KW, Kang JW, Lee SH, Kim HY, Choy WS. Knee pain analysis after tibia intramedullary nailing. J Korean Soc Fract, 2001;14:278-284.
- 12. Toivanen JA, Väistö O, Kannus P, Latvala K, Honkonen SE, Järvinen MJ. Anterior knee pain after intramedullary nailing of fractures of the tibial shaft. A prospective, randomized study comparing two different nail-insertion techniques. J Bone Joint Surg Am, 2002;84:580-585.
- 13. Väistö O, Toivanen J, Kannus P, Järvinen M. Anterior knee pain and thigh muscle strength after intramedullary nailing of a tibial shaft fracture: an 8-year follow-up of 28 consecutive cases. J Orthop Trauma, 2007;21:165-171.
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Citations
Citations to this article as recorded by 
- Pain in Anterior Knee after Locked Nailing of Diaphyseal Tibia Fractures
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Traumatology and Orthopedics of Russia.2020; 26(1): 85. CrossRef - Stress fractures of the tibia
Jung Min Park, Ki Sun Sung
Arthroscopy and Orthopedic Sports Medicine.2015; 2(2): 95. CrossRef - Tension Band Plating for a Stress Fracture of the Anterior Tibial Cortex in a Basketball Player - A Case Report -
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Journal of the Korean Fracture Society.2012; 25(4): 323. CrossRef
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XML DownloadAnterior Knee Pain after Intramedullary Nailing for Tibial Shaft Fractures
Fig. 1
This photograph shows IM nail protrusion over anterior tibial cortex.
Fig. 1
Anterior Knee Pain after Intramedullary Nailing for Tibial Shaft Fractures
Characters of patients
*p-values of <0.05 were considered the level of statistical significance difference.
Table 1
Characters of patients
*p-values of <0.05 were considered the level of statistical significance difference.
