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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| suprapatellar approach | Active Comparator |
| |
| extra-articular lateral parapatellar approach | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| suprapatellar approach | Procedure | semi-extended position longitudinal incision 2 cm. above patella nail insertion procedure under patellofemoral joint |
|
| Measure | Description | Time Frame |
|---|---|---|
| Lysholm Knee Score | 6 months |
| Measure | Description | Time Frame |
|---|---|---|
| operative time | operation | |
| VAS score of knee | POD 1, 2 weeks, 6 weeks, 3 months, 6 months | |
| range of motion |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Tiwat Wongkasemjit M.D., Resident | Contact | +66893146833 | toytiwat@gmail.com |
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data was save in form of Microsoft excel spreadsheet and SPSS file
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patients were divided into two groups using computer-generated block-of-four randomization.
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| extra-articular lateral parapatellar approach | Procedure | semi-extended position longitudinal incision 4-5 cm., lateral to patellar tendon nail insertion procedure |
|
knee |
| POD 1, 2 weeks, 6 weeks, 3 months, 6 months |
| intraoperative blood loss | operation |
| fluoroscopy time | operation |