Outcome of Medial Parapatellar Versus Transpatellar Tendon Approach of Intramedullary Nail Insertion Techniques in Tibial Shaft Fractures

Abstract

Background: Fractures of the tibia are among the most serious long bone fractures. Materials and method: This is a retrospective study conducted in Aden. We reviewed records of patients who were admitted and treated for tibial fractures by intramedullary nail. We gathered data from 48 patients, underwent MPA and TPA approach for surgery. SPSS version 17 was used to analyze the data. The Fisher test was used to compare the two groups, MPA and TPA group. The significance level was set at P<0.05. Results: Males were (72.9%) and females were (27.1%). Their mean age was 37 ± 11.9 years. Stair ascending impairment were found in MPA approach (20.8%) and (29.2%) after TPA (p > 0.05). Limping was found in MPA group (22.9%) and (20.8%) in TPA group (p > 0.05). Inability squaring found in MPA group (27.1%) and (29.2%) in TPA group, (p > 0.05). Anterior knee pain was found in (27.1%) of MPA approach and (35.4%) in TPA approach, (p > 0.05). In the MPA insertion approach, (29.2%) patients showed a full flexion after two days of the surgical insertion while in TPA approach there were (16.6%) patients showed a full flexion (p > 0.05). Full extraction found in MPA approach (33.3%) after 2 days of surgery and (29.2%) in TPA approach, (p > 0.05). After 2 days (31.3%) patients whom treated with MPA approach and (22.9%) whom treated with TPA approach. Conclusion: The study showed us the advantage of medial parapatellar tendon approach of treating the tibial shaft fractures. Keywords: Outcome, intramedullary nail, tibia, fracture.