Evidence map›Paper›PMID 38558039›Full record

ReviewMusculoskeletal surgery2024

Infrapatellar branch of the saphenous nerve lesion following tibial nailing: it is possible to avoid it?

D Fenga, I Sanzarello, P Rizzo, F Traina, F Coppini, D Leonetti, C Faldini

Abstract readReview
PubMed Publisher
In one paragraph

Review in Musculoskeletal surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

D FengaDepartment of Biomedical, Dental and Morphological and Functional Images, Section of Orthopedics and Traumatology, University of Messina, Messina, Italy.
I SanzarelloDepartment of Biomedical, Dental and Morphological and Functional Images, Section of Orthopedics and Traumatology, University of Messina, Messina, Italy. Ilaria.sanzarello@unime.it.
P RizzoDepartment of Biomedical, Dental and Morphological and Functional Images, Section of Orthopedics and Traumatology, University of Messina, Messina, Italy.
F Traina1St Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136, Bologna, Italy.
F CoppiniDepartment of Biomedical, Dental and Morphological and Functional Images, Section of Orthopedics and Traumatology, University of Messina, Messina, Italy.
D LeonettiDepartment of Biomedical, Dental and Morphological and Functional Images, Section of Orthopedics and Traumatology, University of Messina, Messina, Italy.
C Faldini1St Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136, Bologna, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIatrogenic injury to the infrapatellar branches of saphenous nerve is a common complication following tibial nailing. This lesion seems to be directly related to the surgical approach adopted for nail insertion. The aim of the present study was to systematically review the current literature in order to assess the eventual superiority of one surgical approach for tibial nailing over the others in limiting the neurological impairment related to infrapatellar branch injury. MATERIALS AND

methodsThe available literature was systematically screened searching papers dealing with iatrogenic injury to the infrapatellar branch of saphenous nerve after intramedullary tibial nailing. The terms "Saphenous" and "Infrapatellar branch" were used in combination with "intramedullary nailing" and "tibial fractures", supplying no limits regarding the publication year. Only publications in English were considered. Case reports, technical notes, instructional course, literature reviews, biomechanical and/ or in vitro studies were all excluded. Coleman methodological score was performed in all the retained articles.

resultsFour articles matched the inclusion criteria. There were one original article and three retrospective study. Hypoesthesia and a larger extension of the area of sensory-loss were more frequently observed after vertical incision approach in three out of four articles. A trend towards a lower rate of iatrogenic nerve damage using a transverse incision was found in the remaining one, without any statistical significance.

conclusionsIn order to avoid infrapatellar nerve lesion, horizontal or oblique incisions or percutaneous approaches should be favored, although in some cases a longitudinal incision is required. Limited-extension incisions could minimize the risk and the incidence of this complication.

Indexed as

Fracture Fixation, IntramedullaryIatrogenic DiseasePeripheral Nerve InjuriesTibial FracturesBone NailsHumansPostoperative ComplicationsInfra patellar branchNailingSaphenous nerveTibial fractures

Identifiers

PMID38558039

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.