OTA 2016: IM nailing of a tibial shaft fracture with the knee semi-extended vs. flexed .
Parapatellar semi-extended and flexed knee tibial nailing technique are equivalent in regards to knee pain: a randomized controlled trial
60 patients with a tibial shaft fracture were scheduled for fixation via intramedullary nailing and randomized to nail insertion through a parapatellar approach with the knee in either a semi-extended or flexed position. The purpose of this study was to compare knee pain, assessed using the Symptoms Subset of the International Knee Documentation Committee (SS-IKDC) Score, at 1-year follow-up. The results demonstrated no statistically significant differences between groups in knee pain on the SS-IKDC at 1-year follow-up.
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