The primary objective of this study is to evaluate the long-term outcome after inserting
an intramedullary nail in patients with a tibial shaft fracture using an injury-specific
questionnaire.

Knee Pain After Intramedullary Nailing in the Tibia

Tibia Fracture

Knee Pain Chronic

Introduction

The treatment of choice for unstable diaphyseal fractures in the tibia is reamed
insertion of an intramedullary nail (IMN) with the additional placement of interlocking
screws. The most common complication after insertion of an IMN as treatment of tibial
shaft fractures is chronic knee pain with reported rates between 10 % and 87 % with a
mean of 47,4 % in metaanalyses.

Methods

The primary objective of this study is to evaluate the long-term outcome after inserting
an IMN in patients with a tibial shaft fracture using an injury-specific questionnaire.

This study includes patients operated on five Danish hospitals. A database search was
made using operational codes for insertion of an IMN in a five-year period. Patients aged
18 years or older, alive and residing in Denmark at the time of follow-up could be
included in the study. These patients then received a Knee Injury and Osteoarthritis
Score (KOOS) questionnaire by mail with questions regarding knee-specific symptoms,
stiffness, pain, function and quality of life. Questionnaires were filled out and
returned to the corresponding physician for further analyze. Patients who were unable to
fill out the questionnaire due to concomitant physical condition or who had undergone
amputation or further surgery on the affected limb were excluded.

Knee Pain After Tibial Shaft Fracture Treated With Intramedullary Nailing

The primary objective of this study is to evaluate the long-term outcome after inserting
an IMN in patients with a tibial shaft fracture using an injury-specific questionnaire.
We used the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire to collect
patient data. It is used to assess patient's subjective opinion about symptoms related to
the knee and other associated problems. The questionnaire has been translated and
validated in Danish and consists of 5 subscales: pain, symptoms, function in daily living
(ADL) function in sports and recreation and knee-related QOL. Each subscale has between 4
and 17 questions (a total of 42 questions) with each question having 5 options ranging
from no symptoms to severe symptoms. Each question gets a score from 0-4 and a score from
0-100 is calculated. 100 indicating no symptoms and 0 indicates major symptoms.

Knee Pain After Intramedullary Nailing in the Tibia

About this trial

Study ID

Status

Type

Placebo

Accepting

Not accepting

Trial Timing

What is this trial about?

What are the participation requirements?

Locations

Location

Status