ArticleZhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery2026
[Comparison of effectiveness between infrapatellar and semi-extended parapatellar approaches for intramedullary nailing in treatment of type A tibial shaft fractures].
Article in Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To compare the effectiveness of the infrapatellar approach versus the semi-extended parapatellar approach for intramedullary nailing in the treatment of type A tibial shaft fractures. Methods: A retrospective analysis was conducted on 66 patients with type A tibial shaft fractures treated with intramedullary nailing between May 2018 and February 2023. Among them, 23 patients underwent the infrapatellar approach (group A), 22 the semi-extended lateral parapatellar approach (group B), and 21 the semi-extended medial parapatellar approach (group C). There was no significant difference among the three groups in baseline data ( Results: All patients completed the surgery successfully, with primary incision healing in all cases and no incision infections. There was no significant difference among the three groups in intraoperative blood loss or length of hospital stay ( Conclusion: Compared with the infrapatellar approach, the semi-extended parapatellar approach offers more accurate nail placement, easier fracture reduction, fewer intraoperative fluoroscopies, better late knee function, and fewer complications in the treatment of type A tibial shaft fractures. Among parapatellar approaches, the lateral approach demonstrates greater clinical advantages, with shorter operation time, fewer fluoroscopies, lower incidence of skin numbness around the knee, and suitability for patients with soft tissue contusions.
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