کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3239649 1206015 2012 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Injury to the infrapatellar branch of the saphenous nerve, a possible cause for anterior knee pain after tibial nailing?
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Injury to the infrapatellar branch of the saphenous nerve, a possible cause for anterior knee pain after tibial nailing?
چکیده انگلیسی

The purpose of this study was to determine the long-term incidence of infrapatellar nerve damage after tibial nailing and its relation to anterior knee pain. We retrospectively evaluated 71 patients in whom 72 isolated tibial shaft fractures were treated with an intramedullary nail. The mean follow-up time was 84 months. Twenty-seven patients (38%) complained of chronic anterior knee pain. Infrapatellar nerve damage was found in 43 patients (60%). Of the 27 patients with knee pain, 21 (78%) had sensory deficits in the distribution area of the infrapatellar nerve, compared to 22 of the 45 patients (49%) without knee pain (p = 0.025). Patient and fracture characteristics showed no significant differences between the two groups. At time of follow-up a total of 33 nails were removed of which twelve were taken out because of knee pain. The pain persisted in seven of these twelve patients (58%).The incidence of iatrogenic damage to the infrapatellar nerve after tibial nailing is high and lasting. Injury to this nerve appears to be associated with anterior knee pain after tibial nailing.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Injury - Volume 43, Issue 6, June 2012, Pages 779–783
نویسندگان
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