Abstract
We retrospectively studied 18 patients who had intramedullary nailing of the tibia. In nine patients the medial parapatellar approach was used and in the other nine the patellar tendon was split. We found that those patients in whom the patellar tendon was split had significant lowering of the patella compared with the normal knee ( P<0.002, Student's t-test). Those patients who had a medial parapatellar approach to the tibia had no significant lowering of the patella as compared with the other normal knee. It is likely that the patellar tendon splitting approach to the tibia causes the tendon to adhere to the upper tibia causing patella infera.
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