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Current Issue - July 2016, Volume 10, Issue No. 2

Official Journal of Malaysian Orthopaedic Association and ASEAN Orthopaedic Association

Anterior Knee Pain after Tibial Intra-medullary Nailing: Is it Predictable?


  1. Alho A, Ekeland A, Stromsoe K, Folleras G, Thoresen BO. Locked intramedullary nailing for isplaced tibial shaft fractures. J Bone Joint Surg. 1990; 72-B: 805-9.
  2. Toivanen JA, Honkonen SE, Koivisto AM, Jarvinen MJ. Treatment of lowenergy tibial shaft ractures: plaster cast compared with intramedullary nailing. Int Orthop. 2001; 25: 110-13.
  3. Wiss DA, Brien WW, Stetson WB. Interlocked nailing for treatment of segmental fractures of the femur. J Bone Joint Surg. 1990; 72-A: 724-8.
  4. Katsoulis E, Court-Brown C, Giannoudis PV. Incidence and etiology of anterior knee pain after intramedullary nailing of the femur and tibia. J Bone Joint Surg. 2006; 88-B(5): 576-80.
  5. Bone LB, Sucato D, Stegemann PM, Rohrbacher BJ. Displaced isolated fractures of the tibial shaft treated with either a cast or intramedullary nailing. An outcome analysis of matched pairs of patients. J Bone Joint Surg. 1997; 79-A(9): 1336-41.
  6. Finkemeier C, Schmidt AH, Kyle RF, Templeman DC, Varecka TF. A prospective, randomized study of intramedullary nails inserted with and without reaming for the treatment of open and closed fractures of the tibial shaft. J Orthop Trauma. 2000; 14(3): 187-93.
  7. Court-Brown CM, Gustilo T, Shaw AD. Knee pain after intramedullary tibial nailing: its incidence, etiology, and outcome. J Orthop Trauma. 1997; 11(2): 103-5.
  8. Karachalios T, Babis G, Tsarouchas J, Sapkas G, Pantazopoulos T. The clinical performance of a small diameter tibial nailing system with a mechanical distal aiming device. Injury. 2000; 31: 451-59.
  9. Toivanen JA1, Väistö O, Kannus P, Latvala K, Honkonen SE, Järvinen MJ. Anterior knee pain after intramedullary nailing of fractures of the tibial shaft: a prospective, randomized study comparing two different nail-insertion techniques. J Bone Joint Surg. 2002 Apr;84-A(4): 580-5.
  10. Keating JF, Orfaly R, O’Brien PJ. Knee pain after tibial nailing. J Orthop Trauma. 1997; 11(1): 10-3.
  11. Bhattacharyya T, Seng K, Nassif NA, Freedman I. Knee pain after tibial nailing. The role of nail prominence. Clin Orthop Relat Res. 2006; 449: 303-7.
  12. Uzumcugil O, Dogan A, Yalcinkaya M, Kabukcuoglu YS. The relationship between anterior knee pain occurring after tibial intramedullary nailing and the localization of the nail in the proximal tibia. Acta Orthop Traumatol Turc. 2009; 43(5): 386-89.
  13. Lefaivre KA, Guy P, Chan H, Blachut PA. Long-term follow-up of tibial shaft fractures treated with intramedullary nailing. J Orthop Trauma. 2008; 22(8): 525-9
  14. Cartwright-Terry M, Snow M, Nalwad H. The severity and prediction of anterior knee pain post tibial nail insertion. J Orthop Trauma. 2007; 21(6): 381-5.
  15. Väistö O1, Toivanen J, Kannus P, Järvinen M. Anterior knee pain and thigh muscle strength after intramedullary nailing of tibial shaft fractures: a report of 40 consecutive cases. J Orthop Trauma. 2004; 18(1): 18-23.
  16. Dogra AS, Ruiz AL, Marsh DR. Late outcome of isolated tibial fractures treated by intramedullary nailing: the correlation between disease-specific and generic outcome measures. J Orthop Trauma. 2002; 16: 245-9.
  17. Orfaly R, Keating JE, O’Brien PJ. Knee pain after tibial nailing: does the entry point matter? J Bone Joint Surg Br. 1995; 77:976-7.
  18. Court-Brown CM, Christie J, McQueen MM. Closed intramedullary tibial nailing. Its use in closed and type I open fractures. J Bone Joint Surg. 1990; 72-B: 605-11.
  19. Habernek H, Kwasny O, Schmid L, Ortner F. Complications of interlocking nailing for lower leg fractures: a 3-year follow up of 102 cases. J Trauma. 1992; 33: 863-69.
  20. Court-Brown CM. Reamed intramedullary tibial nailing: an overview and analysis of 1106 cases. J Orthop Trauma. 2004; 18: 96-101.
  21. Väistö O1, Toivanen J, Paakkala T, Järvelä T, Kannus P, Järvinen M. Anterior knee pain after intramedullary nailing of a tibial shaft fracture: an ultrasound study of the patellar tendons of 36 patients. J Orthop Trauma. 2005; 19(5): 311-6.
  22. Song SY, Chang HG, Byun JC, Kim TY. Anterior knee pain after intramedullary nailing using a medial paratendinous approach. 2012; 26(3): 172-7.
  23. Hernigou P, Cohen D. Proximal entry for intramedullary nailing of the tibia. The risk of unrecognised articular damage. J Bone Joint Surg. 2000; 82-B: 33-41.
  24. McConnell T, Tornetta P 3rd, Tilzey J, Casey D. Tibial portal placement: the radiographic correlate of the anatomic safe zone. J Orthop Trauma. 2001; 15(3): 207-9.

Abstract   |   Reference

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The Malaysian Orthopaedic Journal is a peer-reviewed journal that is published three times a year in both print and electronic online version. The purpose of this journal is to publish original research studies, evaluation of current practices and case reports in various subspecialties of orthopaedics and traumatology, as well as associated fields like basic science, biomedical engineering, rehabilitation medicine and nursing.

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