Lateral parapatellar incision in half straight position with intramedullary nail in the treatment of tibial shaft fractures
LI Guo-qiang
LI Ren-zeng
ZHANG Yong-fei
WANG Jun
LI Yi-qun
Abstract：Objective To discuss the clinical effect of lateral parapatellar incision in half straight position with intramedullary nail in the treatment of tibial shaft fractures .Methods Twenty-four cases (15 males,9 females, aged 17-63 years,average 40 years) of tibial shaft fractures were treated in our hospital from Jun .2012 to Sep.2013.Fractures of upper 1/4 tibia occurred in 17 cases,tibial fracture combined with patellar soft tissue contusion in 7 ca-ses.All cases were suited for the fixation of intramedullary nail .All the 24 cases were treated by lateral parapatel-lar incision in half straight position with intramedullary nail and followed up for more than 12 months.During the follow-up period,the visual analogue scale (VAS),activity score and disability score were used to evaluate the de-gree of anterior knee pain ,and the degree of activity of the joints .Results Incisions in the 7 patients with tibial shaft fracture combined with patellar soft tissue contusion recovered well .Of the 24 patients,80.16%patients suf-fered anterior knee pain in the follow-up of 3 to 6 weeks after operation .But after 3 months of operation ,follow-ups showed that knee pain in 79.6%of these patients disappeared and knee flexion and activity were satisfied .Accord-ing to VAS and activity score ,15 cases were excellent ,7 cases were good ,2 cases were poor .The total excellent and good rate was 91.66%.There was no obvious difference in age .Conclusion Lateral parapatellar incision in half straight position with intramedullary nail in the treatment of tibial shaft fractures ,especially for cases combined with skin and soft tissue contusion ,can greatly reduce the risk of wound infection and skin necrosis .Besides,the reduc-tion process is simple with obvious advantages of X-ray imaging.The incidence of anterior knee pain of knee joint is low and the recovery of joint function is good , especially for patients with tibial shaft fractures and tibial shaft frac-tures combined with soft tissue contusion in the anterior tibial skin .
Keywords：tibial shaft fractureparapatellar incisionknee jointintramedullary nail
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 103-104 )