Knee pain and associated complications after intramedullary nailing of tibial shaft fracture

Nikolaj Erin-Madsen, Tobias Kvanner Aasvang, Bjarke Viberg, Thomas Brandi Bloch, Michael Brix, Peter Toft Tengberg

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

8 Downloads (Pure)

Resumé

INTRODUCTION: The treatment of choice for unstable diaphyseal fractures in the tibia is reamed insertion of an intramedullary nail (IMN). The most common complication to this treatment is chronic knee pain with reported rates ranging from 10% to 87% with a mean of 47.4% in meta-analyses.

METHODS: This study evaluates the long-term outcome after IMN insertion in adult patients with a tibial shaft fracture using the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. The study includes patients operated on one of five Danish hospitals in a five-year period. The patients received a KOOS questionnaire with questions regarding knee-specific symptoms, stiffness, pain, function and quality of life. Data were subsequently compared to those of a reference population.

RESULTS: A total of 391 patients were enrolled from the trauma centre’s database search. 55 patients did not meet the inclusion criteria. Questionnaires were sent out to 336 patients and 223 (66%) responded. Mean age was 47.9 years at the time of surgery; 63% were men. The follow-up time ranged from 1.7 to 6.7 years.

CONCLUSIONS: With a follow-up time of more than six years after receiving an IMN, patients in this study experienced more knee-specific symptoms, pain, limitations in sports and daily living than a reference population who had not undergone surgery. The study population also reported poorer quality of life outcomes than the reference population.

FUNDING: none.

TRIAL REGISTRATION: Approved by the Danish Data Protection Agency. Clinical trials: NCT03649360.

OriginalsprogEngelsk
ArtikelnummerA5554
TidsskriftDanish Medical Journal
Vol/bind66
Udgave nummer8
Antal sider6
ISSN1603-9629
StatusUdgivet - aug. 2019

Fingeraftryk

Intramedullary Fracture Fixation
Knee
Nails
Knee Injuries
Knee Osteoarthritis
Population
Quality of Life
Computer Security
Chronic Pain
Meta-Analysis
Clinical Trials
Databases

Citer dette

@article{f45759ab69f94badb941f1090f6565b1,
title = "Knee pain and associated complications after intramedullary nailing of tibial shaft fracture",
abstract = "INTRODUCTION: The treatment of choice for unstable diaphyseal fractures in the tibia is reamed insertion of an intramedullary nail (IMN). The most common complication to this treatment is chronic knee pain with reported rates ranging from 10{\%} to 87{\%} with a mean of 47.4{\%} in meta-analyses.METHODS: This study evaluates the long-term outcome after IMN insertion in adult patients with a tibial shaft fracture using the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. The study includes patients operated on one of five Danish hospitals in a five-year period. The patients received a KOOS questionnaire with questions regarding knee-specific symptoms, stiffness, pain, function and quality of life. Data were subsequently compared to those of a reference population.RESULTS: A total of 391 patients were enrolled from the trauma centre’s database search. 55 patients did not meet the inclusion criteria. Questionnaires were sent out to 336 patients and 223 (66{\%}) responded. Mean age was 47.9 years at the time of surgery; 63{\%} were men. The follow-up time ranged from 1.7 to 6.7 years.CONCLUSIONS: With a follow-up time of more than six years after receiving an IMN, patients in this study experienced more knee-specific symptoms, pain, limitations in sports and daily living than a reference population who had not undergone surgery. The study population also reported poorer quality of life outcomes than the reference population.FUNDING: none.TRIAL REGISTRATION: Approved by the Danish Data Protection Agency. Clinical trials: NCT03649360.",
author = "Nikolaj Erin-Madsen and Aasvang, {Tobias Kvanner} and Bjarke Viberg and Bloch, {Thomas Brandi} and Michael Brix and Tengberg, {Peter Toft}",
year = "2019",
month = "8",
language = "English",
volume = "66",
journal = "Danish Medical Journal",
issn = "1603-9629",
publisher = "DANISH MEDICAL ASSOC",
number = "8",

}

Knee pain and associated complications after intramedullary nailing of tibial shaft fracture. / Erin-Madsen, Nikolaj; Aasvang, Tobias Kvanner; Viberg, Bjarke; Bloch, Thomas Brandi; Brix, Michael; Tengberg, Peter Toft.

I: Danish Medical Journal, Bind 66, Nr. 8, A5554, 08.2019.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Knee pain and associated complications after intramedullary nailing of tibial shaft fracture

AU - Erin-Madsen, Nikolaj

AU - Aasvang, Tobias Kvanner

AU - Viberg, Bjarke

AU - Bloch, Thomas Brandi

AU - Brix, Michael

AU - Tengberg, Peter Toft

PY - 2019/8

Y1 - 2019/8

N2 - INTRODUCTION: The treatment of choice for unstable diaphyseal fractures in the tibia is reamed insertion of an intramedullary nail (IMN). The most common complication to this treatment is chronic knee pain with reported rates ranging from 10% to 87% with a mean of 47.4% in meta-analyses.METHODS: This study evaluates the long-term outcome after IMN insertion in adult patients with a tibial shaft fracture using the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. The study includes patients operated on one of five Danish hospitals in a five-year period. The patients received a KOOS questionnaire with questions regarding knee-specific symptoms, stiffness, pain, function and quality of life. Data were subsequently compared to those of a reference population.RESULTS: A total of 391 patients were enrolled from the trauma centre’s database search. 55 patients did not meet the inclusion criteria. Questionnaires were sent out to 336 patients and 223 (66%) responded. Mean age was 47.9 years at the time of surgery; 63% were men. The follow-up time ranged from 1.7 to 6.7 years.CONCLUSIONS: With a follow-up time of more than six years after receiving an IMN, patients in this study experienced more knee-specific symptoms, pain, limitations in sports and daily living than a reference population who had not undergone surgery. The study population also reported poorer quality of life outcomes than the reference population.FUNDING: none.TRIAL REGISTRATION: Approved by the Danish Data Protection Agency. Clinical trials: NCT03649360.

AB - INTRODUCTION: The treatment of choice for unstable diaphyseal fractures in the tibia is reamed insertion of an intramedullary nail (IMN). The most common complication to this treatment is chronic knee pain with reported rates ranging from 10% to 87% with a mean of 47.4% in meta-analyses.METHODS: This study evaluates the long-term outcome after IMN insertion in adult patients with a tibial shaft fracture using the Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. The study includes patients operated on one of five Danish hospitals in a five-year period. The patients received a KOOS questionnaire with questions regarding knee-specific symptoms, stiffness, pain, function and quality of life. Data were subsequently compared to those of a reference population.RESULTS: A total of 391 patients were enrolled from the trauma centre’s database search. 55 patients did not meet the inclusion criteria. Questionnaires were sent out to 336 patients and 223 (66%) responded. Mean age was 47.9 years at the time of surgery; 63% were men. The follow-up time ranged from 1.7 to 6.7 years.CONCLUSIONS: With a follow-up time of more than six years after receiving an IMN, patients in this study experienced more knee-specific symptoms, pain, limitations in sports and daily living than a reference population who had not undergone surgery. The study population also reported poorer quality of life outcomes than the reference population.FUNDING: none.TRIAL REGISTRATION: Approved by the Danish Data Protection Agency. Clinical trials: NCT03649360.

M3 - Journal article

VL - 66

JO - Danish Medical Journal

JF - Danish Medical Journal

SN - 1603-9629

IS - 8

M1 - A5554

ER -