To investigate the functional outcomes and prevalence and severity of knee pain for patients undergoing suprapatellar nailing of tibial shaft fractures.

Suprapatellar nailing...

Participants will be followed for 10 years prospectively. Follow up visits will occur at 2 weeks, 6weeks, 3 months, 6 months, 12 months, 3 years, 5 years, 7 years and 10 years.

Interim analysis will be done at 1, 3, 5, and 7 years with final analysis occuring at 10 years.

Primary and secondary endpoints in patients undergoing suprapatellar nailing of tibial shaft fractures are:

1. To evaluate the long term presence of knee pain
2. To evaluate the long term functional outcomes

Inclusion Criteria:

• Isolated, unilateral tibial shaft fractures
• Orthopaedic Trauma Association (OTA) classification of 42 and may extend to 43A or 43B
• age 18-65, including pregnant women
• open or closed fractures
• able to sign consent
• english speaking

Exclusion Criteria:

• compartment syndrome
• other lower extremity injuries that will affect functional outcomes
• problems maintaining follow up (homeless, not willing to return for follow up)
• pathological fractures
• prisoners
• previous retained hardware in the injured leg
• injuries requiring vascular repair

Patients presenting with tibial shaft fractures.