RCT - Suprapatellar Approach Versus Lateral Parapatellar Approach in Tibial Shaft Fracture

Comparison of Suprapatellar Approach Versus Extra-articular Lateral Parapatellar Approach in Tibial Shaft Fractures: A Randomized Controlled Trial

This study aims to compare 2 surgical techniques for tibial shaft nailing (suprapatellar approach vs extra-articular lateral parapatellar approach). following peri-operative and postoperative outcomes

This is a randomized controlled trial study, compared extra-articular lateral parapatellar approach with suprapatellar approach in tibial shaft nailing. peri-operative data are operative time, blood loss, fluoroscopy time, hospital stay. post-operative outcomes include Lysholm Knee Score, VAS-knee, range of motion. these outcomes are following postoperative day 1, 2 weeks, 6 weeks, 3 months and 6 months.

Inclusion Criteria:

• age 18-60 years
• tibial shaft fractures

Exclusion Criteria:

• pervious knee injury
• open fracture at least Gustilo grade II
• ipsilateral femur and ankle fractures