SynthesisEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021
Anterior knee pain and functional outcome following different surgical techniques for tibial nailing: a systematic review.
Synthesis in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.
- Intramedullary nailing versus plate fixation for the treatment of proximal tibia extra-articular fractures: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Article
- Article
- Comparison of retrograde and antegrade tibial intramedullary nail in the treatment of extra-articular distal tibial fractures.International orthopaedics · 2025Article
- Chronic knee pain following infrapatellar/suprapatellar magnetic intramedullary lengthening nails versus external fixators in limb length discrepancy: A retrospective review.Journal of orthopaedics · 2024Article
- Incidence and Risk Factors of Heterotopic Ossification in the Knee After Reamed Tibial Nailing.Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews · 2024Article
- The absence of reporting standards and a lack of objective, performance-based outcomes following intramedullary nailing of tibial shaft fractures: findings from a scoping review into 179 articles.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Semi-extended extra-synovial (SEES) tibial intramedullary nailing technique: Up to 10 year retrospective analysis of outcomes and anterior knee pain rates.Journal of clinical orthopaedics and trauma · 2023Article
- Outcome of tibial shaft fractures treated with the SIGN FIN nail at Addis Ababa Emergency, Burn, and Trauma Hospital (AaEBT) Addis Ababa, Ethiopia.OTA international : the open access journal of orthopaedic trauma · 2023Article
- Suprapatellar Tibial Nailing: Future or Fad?Journal of clinical medicine · 2023Article
- Article
- Extreme nailing and immediate weight bearing constructs in fractures of the distal tibia.OTA international : the open access journal of orthopaedic trauma · 2022Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim of this systematic review was to compare knee pain and function after tibial nail insertion through an infrapatellar, semi-extended and suprapatellar technique.
methodsA search was carried out to identify articles with an exact description of the method used for insertion of the tibial nail and description of the outcome parameters (knee pain or function). Data on study design, population, rate and severity of anterior knee pain and function scores were extracted. Pooled rates and scores were calculated.
results67 studies with 3,499 patients were included. The pooled rate of patients with anterior knee pain was 38% (95% CI 32-44) after nail insertion through an infrapatellar approach and 10% (95% CI 1-26) after insertion through a suprapatellar approach. Pooled analysis was not possible for the semi-extended technique. Knee pain scores as measured by visual analogue score (0-10) ranged from 0.2 (95% CI - 0.1-0.5) for general knee pain to 3.7 (95% CI 1.3-6.1) for pain during kneeling. Pooled estimates for the Lysholm score were 87 points (range 77-97) for the infrapatellar technique and 85 points (range 82-85) for the suprapatellar technique. Iowa Knee scores were 94 (range 86-96) and Anterior Knee Pain Scale scores were 76 (range 75-80) after infrapatellar nail insertion. DISCUSSION: Depending on the technique used, the proportion of patients with knee pain after tibial nailing varied between 10 and 38%. The actual measured knee pain scores were, however, surprisingly low. Knee function was good for both the infra- and suprapatellar technique.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.