Knee Pain Chronic Clinical Trial
Official title:
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 intramedullary nail in patients with a tibial shaft fracture using an injury-specific questionnaire.
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.
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