Tibial Shaft Nailing Treated With Suprapatellar Nailing

The Incidence of Associated Intra-articular Knee Pathology With Concomitant Tibial Shaft Fractures Treated With Suprapatellar Nailing

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02510339

Enrollment

Registered

2015-07-29

Start date

2016-01-10

Completion date

2017-03-01

Last updated

2017-04-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Broken Leg

Brief summary

The goal of this project is to determine the incidence of intra-articular knee pathology following tibial shaft fractures as evaluated by intraoperative knee aspiration and physical exam, and to evaluate for chondral injuries following treatment with a suprapatellar tibial nail via MRI.

Detailed description

Suprapatellar tibial nailing is gaining popularity throughout the orthopedic community for tibial shaft fractures, however the secondary effects of this technique on the articular cartilage of the knee is unknown. Additionally, the incidence of intra-articular knee pathology in the face of tibial shaft fractures has not been described in the orthopedic literature. An undiagnosed cruciate/collateral ligament injury can result in post-traumatic arthritis, as well as a delay in justified ligamentous reconstruction of the knee, causing further injury. Long term sequelae of now commonplace suprapatellar nailing on the patellofemoral joint of the knee have been sparsely elucidated in the literature. The primary objective is to determine the consequences of suprapatellar tibial nailing on cartilage of the patellofemoral joint. As a secondary objective, this study will seek to determine the incidence of intra-articular knee pathology following tibial shaft fractures in patients presenting to Orlando Regional Medical Center.

Interventions

OTHERObservation

Administration of two questionnairs during post operative visits.

Study design

Observational model

COHORT

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

1. skeletally mature 2. open or closed fractures of the tibial shaft

Exclusion criteria

1. concomitant tibial plateau or tibial pilon injuries 2. a knee dislocation 3. skeletally immature 4. those who will undergo standard (infra-patellar) tibial nailing

Design outcomes

Primary

Measure	Time frame	Description
Consequences of suprapatellar tibial nailing	One year	During follow up visits, subjects will be given the Olerud-Molander questionnaire to complete. The data from that form will be analyzed for each visit.

Secondary

Measure	Time frame	Description
Incidences of intra-articular knee pathology	One year.	Post-operative radiographs will be analyzed during each visit per standard of care.
Functional assessment	One year	The functional assessment/progress of the patient will be noted at each follow up visit.

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026