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

Status

Not yet recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07657559

Acronym

ELPP

Enrollment

Registered

2026-06-18

Start date

2026-08-01

Completion date

2028-08-31

Last updated

2026-06-18

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

Conditions

Intramedullary Nail, Tibial Shaft Fracture

Keywords

suprapatellar approach, extra-articular lateral parapatellar approach, intramedullary nailing, tibial shaft fracture

Brief summary

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

Detailed description

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.

Interventions

PROCEDUREsuprapatellar approach

semi-extended position longitudinal incision 2 cm. above patella nail insertion procedure under patellofemoral joint

PROCEDUREextra-articular lateral parapatellar approach

semi-extended position longitudinal incision 4-5 cm., lateral to patellar tendon nail insertion procedure

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

TREATMENT

Masking

SINGLE (Outcomes Assessor)

Intervention model description

patients were divided into two groups using computer-generated block-of-four randomization.

Eligibility

Sex/Gender

ALL

Age

18 Years to 60 Years

Healthy volunteers

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

Design outcomes

Primary

Measure	Time frame
Lysholm Knee Score	6 months

Secondary

Measure	Time frame	Description
operative time	operation	—
VAS score of knee	POD 1, 2 weeks, 6 weeks, 3 months, 6 months	—
range of motion	POD 1, 2 weeks, 6 weeks, 3 months, 6 months	knee
intraoperative blood loss	operation	—
fluoroscopy time	operation	—

Contacts

CONTACTTiwat Wongkasemjit M.D., Resident

toytiwat@gmail.com+66893146833

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 19, 2026