A Group-Control Study on Clinical Efficacy Between Classical Infra-Patellar and Supra-Patellar Intramedullary Nailing in the Treatment of Tibial Shaft Fractures

Objective: To compare the clinical efficacy and prognostic evaluation between classical infrapatellar and supra-patellar intra-medullary nailing in the treatment of tibial shaft fractures. Methods: All 88 cases of patients diagnosed as tibial shaft fracture with the admittance into Dept. Orthopedic Trauma, had been retrospectively analyzed from June. 2012 to Dec. 2015. The valid cases of which is 68 that accounted for 77.2% of follow-up rate. 60 cases were male, 8 cases female, aging from 18 to 87, 43.7±12.47 on average. All cases were classified into two groups, based on different surgical approaches,(38 cases in SPN group,30 cases in IPN group) and to compare respectively the surgical time, fracture union time, length of stay, intra-operative fluoroscopic time, “Second Shifting”, bleeding, the incidence of limited open reduction, function of knee and also their clinical efficacy. Results: There was no statistical significance in gender and age, fracture classifications, operative time, length of hospital stay, and fracture union time of these two groups (P>0.05). Intra-operative accumulative fluoroscopy time in the group of infra-patellar approach (IPN, abbreviated as below) was significantly lower than that of suprapatellar approach group (SPN, abbreviated as below) (P = 0.009, P < 0.05) and intra-operative bleeding volume in these two groups of patients was statistically significant (P = 0.044, P < 0.05), which in IPN group shows more than in group. SPN. The number of cases of “Second Shifting” in IPN group was significantly higher than that of SPN group (P = 0.021, P < 0.05), and compared to only 1 case treated with limited open reduction in SPN group, however, there were 7 cases in IPN group, which indicated statistically significant difference (P = 0.044, 0.050). The postoperative follow-up was performed accordingly by the Hospital for Special Surgery A Group-Control Study on Clinical Efficacy Between Classical Infra-Patellar and Supra-Patellar Intramedullary Nailing in the Treatment of Tibial Shaft Fractures LI Sheng-long1 WANG Zhe2 TANG Xin3* WANG Xiu-hui4* 1Department of Bone and Soft Tissue Tumor Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Liaoning Province, 110042, China 2Department of Orthopedics,Zhongshan Hosptital affiliated to Fudan University, Shanghai 200032, China 3Department of Trauma Orthopedics, The First Affiliated Hospital of Dalian Medical University, Liaoning 116011, China 4Department of Orthopedics, Shanghai Zhoupu Hospital, Shanghai 201318, China *Correspondence: Department of Trauma Orthopedics, The First Affiliated Hospital of Dalian Medical University, Liaoning 116011, China. surgeontangxin@163.com Department of Orthopedics, Shanghai Zhoupu Hospital, Pudong New Area 1500, Rd Zhouyuan, Zhoupu, Shanghai 201318, China. zpyygkwxh@sina.com Copyright: © 2017 LI Sheng-long, et al. PRAS is licensed to the public under a Creative Commons Attribution 4.0 license. Your use of this site is governed by the Terms of Use Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.