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Orthopaedic Proceedings
Vol. 104-B, Issue SUPP_1 | Pages 18 - 18
1 Jan 2022
A CHANGE IN THE SURGICAL MANAGEMENT OF TIBIAL SHAFT FRACTURES: SUPRAPATELLAR TIBIAL NAILING VERSUS INFRAPATELLAR TIBIAL NAILING
Singhal A Jayaraju U Kaur K Clewer G
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Abstract

Background

With the increasingly accepted method of suprapatellar tibial nailing for tibial shaft fractures, we aimed to compare intraoperative and postoperative outcomes of infrapatellar (IP) vs suprapatellar (SP) tibial nails.

Methods

A retrospective cohort analysis of 58 patients. 34 SP tibial nails over 3 years versus 24 IP tibial nails over a similar time frame. We compared; radiation exposure, patient positioning time (PPT), non-union rate and follow-up time. Knee pain in the SP group was evaluated, utilising the Hospital for Special Surgery (HSS) Knee injury and Osteoarthritis outcome score (KOOS).