Comparison of lateral parapatellar vs. infrapatellar approaches for intramedullary nailing for tibial shaft fractures
BackgroundThis study aimed to evaluate the clinical and functional outcomes of tibial shaft fractures treated with intramedullary nailing (IMN) using the lateral parapatellar entry (LPE) and infrapatellar (IP) surgical approaches.MethodsA total of 85 patients with tibial shaft fractures treated with...
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1521860/full |
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| author | Lifeng Yang Guanghua Nie |
| author_facet | Lifeng Yang Guanghua Nie |
| author_sort | Lifeng Yang |
| collection | DOAJ |
| description | BackgroundThis study aimed to evaluate the clinical and functional outcomes of tibial shaft fractures treated with intramedullary nailing (IMN) using the lateral parapatellar entry (LPE) and infrapatellar (IP) surgical approaches.MethodsA total of 85 patients with tibial shaft fractures treated with IMN between January 2019 and December 2022 were retrospectively analyzed. A total of 40 and 45 patients underwent IMN using the LPE and IP surgical approaches, respectively. The operation time, intraoperative fluoroscopy times, blood loss, closed reduction rate, fracture healing time and complications were reviewed in this study. The American Orthopaedic Foot and Ankle Society (AOFAS) scale and Lysholm Knee Scoring Scale were used as functional measurements.ResultsThe study included 85 patients (40 in the LPE group and 45 in the IP group), with a minimum follow-up of 12 months. No significant differences were found in fracture healing time, closed reduction rate, infection, deformity healing rate, Lysholm scores, and AOFAS scores between the groups. The LPE group displayed an significantly shorter operation duration, less blood loss, fewer fluoroscopy times, and a lower average VAS score compared to the IP group (P < 0.05).ConclusionsThe LPE approach for IMN in tibial shaft fractures may offer advantages in terms of fewer fluoroscopy times, and lower complication rates, suggesting it could be a preferable surgical approach. |
| format | Article |
| id | doaj-art-0bdcd4fe0e75400d8d83fefb68bd96a2 |
| institution | OA Journals |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-0bdcd4fe0e75400d8d83fefb68bd96a22025-08-20T02:12:10ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-04-011210.3389/fsurg.2025.15218601521860Comparison of lateral parapatellar vs. infrapatellar approaches for intramedullary nailing for tibial shaft fracturesLifeng Yang0Guanghua Nie1Department of Orthopedics, LuonanCounty Hospital, Shangluo, Shaan’xi, ChinaDepartment of Orthopaedics, Honghui Hospital, Xi’an Jiaotong University, Xi’an, Shaan’xi, ChinaBackgroundThis study aimed to evaluate the clinical and functional outcomes of tibial shaft fractures treated with intramedullary nailing (IMN) using the lateral parapatellar entry (LPE) and infrapatellar (IP) surgical approaches.MethodsA total of 85 patients with tibial shaft fractures treated with IMN between January 2019 and December 2022 were retrospectively analyzed. A total of 40 and 45 patients underwent IMN using the LPE and IP surgical approaches, respectively. The operation time, intraoperative fluoroscopy times, blood loss, closed reduction rate, fracture healing time and complications were reviewed in this study. The American Orthopaedic Foot and Ankle Society (AOFAS) scale and Lysholm Knee Scoring Scale were used as functional measurements.ResultsThe study included 85 patients (40 in the LPE group and 45 in the IP group), with a minimum follow-up of 12 months. No significant differences were found in fracture healing time, closed reduction rate, infection, deformity healing rate, Lysholm scores, and AOFAS scores between the groups. The LPE group displayed an significantly shorter operation duration, less blood loss, fewer fluoroscopy times, and a lower average VAS score compared to the IP group (P < 0.05).ConclusionsThe LPE approach for IMN in tibial shaft fractures may offer advantages in terms of fewer fluoroscopy times, and lower complication rates, suggesting it could be a preferable surgical approach.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1521860/fulltibial shaft fractureslateral parapatellar entryinfrapatellarintramedullary nailingsurgical approaches |
| spellingShingle | Lifeng Yang Guanghua Nie Comparison of lateral parapatellar vs. infrapatellar approaches for intramedullary nailing for tibial shaft fractures Frontiers in Surgery tibial shaft fractures lateral parapatellar entry infrapatellar intramedullary nailing surgical approaches |
| title | Comparison of lateral parapatellar vs. infrapatellar approaches for intramedullary nailing for tibial shaft fractures |
| title_full | Comparison of lateral parapatellar vs. infrapatellar approaches for intramedullary nailing for tibial shaft fractures |
| title_fullStr | Comparison of lateral parapatellar vs. infrapatellar approaches for intramedullary nailing for tibial shaft fractures |
| title_full_unstemmed | Comparison of lateral parapatellar vs. infrapatellar approaches for intramedullary nailing for tibial shaft fractures |
| title_short | Comparison of lateral parapatellar vs. infrapatellar approaches for intramedullary nailing for tibial shaft fractures |
| title_sort | comparison of lateral parapatellar vs infrapatellar approaches for intramedullary nailing for tibial shaft fractures |
| topic | tibial shaft fractures lateral parapatellar entry infrapatellar intramedullary nailing surgical approaches |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1521860/full |
| work_keys_str_mv | AT lifengyang comparisonoflateralparapatellarvsinfrapatellarapproachesforintramedullarynailingfortibialshaftfractures AT guanghuanie comparisonoflateralparapatellarvsinfrapatellarapproachesforintramedullarynailingfortibialshaftfractures |