OTA 2023: Infrapatellar vs Suprapatellar Intramedullary Nailing for Tibia Fractures .
Infrapatellar Versus Suprapatellar Intramedullary Nailing for Fractures of the Tibia (INSURT Study): A Multicenter Randomized Controlled Trial
245 patients with OTA type 42 and 43A fractures were randomized to receive either infrapatellar (n=117) or suprapatellar intramedullary nailing (n=128). The primary outcome of interest was Visual Analog Scale (VAS) kneeling scores. Secondary outcomes of interest included patient-blinded Aberdeen Kneeling (AKT), Aberdeen Standing (AST), weight distribution, Lysholm scores, Photographic Knee Pain Map (PKPM), EuroQoL 5 Dimensions (EQ-5D), knee range of motion (ROM), Work Productivity and Activity Impairment Questionnaire (WPAI), fracture reduction, tibial alignment, and union rates. Suprapatellar nailing showed significantly better VAS kneeling scores up to one year compared to infrapatellar nailing. Suprapatellar nailing also showed significantly more weight distribution and anatomic fracture reduction. All other outcomes were similar between the 2 groups.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
0 of 4 monthly FREE articles unlocked
