anterior knee pain
Conditions
Interventions
Patients treated with a transpatellar approach will be equally randomized to a
longitudinal or transverse incision.
Sponsors
Erasmus MC
Eligibility
Age
12 Years to 99 Years
Inclusion criteria
Inclusion criteria: Age between 16 and 65 years Unilateral tibial shaft fracture (AO 42 A, B and C) Indication for intramedullary nailing in judgement of the treating surgeon (within 2 weeks after initial trauma) Provided written informed consent by patient
Exclusion criteria
Exclusion criteria: Gustilo open fractures grade III-C or open wound on knee Polytrauma patients, when concurring injury affect treatment and recovery Patients with bilateral tibial shaft fractures Patients with a pathological or recurrent fracture of the tibia Patients with pre-existing knee pathology (e.g. menisci, cruciate ligament) Patients with pre-existing functional impairment which has influence on rehabilitation (e.g. wheelchair-bound) Patients with rheumatoid arthritis Patients with bone disease resulting in delayed union (except osteoporosis) Insufficient comprehension of Dutch language to adhere to treatment guidelines Likely problems with follow-up (e.g. no fixed address)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome measure for the randomized trial is the difference in kneeling pain based on a numeric rating scale (NRS) at 12 months post-surgery between patients treated with a longitudinal and a transverse incision. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome measures for the randomized trial (transverse versus longitudinal incision) include differences at 12 months post-surgery between both groups for knee pain during daily activities, infrapatellar nerve injury, functional outcome and health care consumption. Outcome measures for the cohort study (suprapatellar approach) include all above mentioned parameters. | — |
Countries
Netherlands
Outcome results
None listed