Court-Brown C M, Gustilo T, Shaw A D
Edinburgh Orthopaedic Trauma Unit, Royal Infirmary of Edinburgh, Scotland.
J Orthop Trauma. 1997 Feb-Mar;11(2):103-5. doi: 10.1097/00005131-199702000-00006.
To establish the incidence and clinical effects of anterior knee pain after intramedullary nailing of the tibia.
A retrospective study.
The Royal Infirmary of Edinburgh, Scotland.
169 patients who presented with a tibial diaphyseal fracture and were treated by intramedullary nailing.
All patients were treated with a reamed Grosse Kempf tibial nail.
Anterior knee pain was assessed with an analogue scale and functional outcome was examined using a series of routine daily activities.
Anterior knee pain was found in 56.2% of patients. The only distinguishing feature between patients with and without pain was that the patients who had pain were significantly younger. Most patients had mild pain but there was considerable functional impairment with 91.8% of patients experiencing pain on kneeling and 33.7% having pain even at rest. Nail removal resolved or improved the symptoms in almost all cases.
Anterior knee pain is a significant complication of intramedullary nailing of the tibia.
确定胫骨髓内钉固定术后膝前疼痛的发生率及临床影响。
一项回顾性研究。
苏格兰爱丁堡皇家医院。
169例胫骨干骨折并接受髓内钉固定治疗的患者。
所有患者均采用扩髓的Grosse Kempf胫骨钉治疗。
采用视觉模拟评分法评估膝前疼痛情况，并通过一系列日常常规活动检查功能预后。
56.2%的患者出现膝前疼痛。有疼痛和无疼痛患者之间唯一的区别特征是有疼痛的患者明显更年轻。大多数患者为轻度疼痛，但功能损害相当严重，91.8%的患者跪立时疼痛，33.7%的患者甚至在休息时也疼痛。几乎所有病例中取出内固定钉后症状均得到缓解或改善。
膝前疼痛是胫骨髓内钉固定术的一种重要并发症。
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