Knee pain correlates with union after tibial nailing.

Abstract:

OBJECTIVES:The purpose of this study is to evaluate the change in quantitatively scored knee pain during union. DESIGN:This is a retrospective review of prospectively collected data over a 15-year period. SETTING:Academic medical center. PATIENTS:All patients treated with an intramedullary nail were evaluated for knee pain and union. Four hundred twenty-eight patients with 443 tibia fractures were included. INTERVENTION:All tibia fractures were treated with an intramedullary nail. OUTCOMES:Patient-based knee pain was scored from 0 to 3. Fracture union was also graded using a modified Hammer score based on cortical bridging and remodeling. RESULTS:We found a significant inverse association between pain and union score (P < 0.01). In contradistinction, there was not a correlation between time from surgery and pain (P = 0.13). Because union score and time were related, a model was created with both parameters. This model demonstrated a statistical correlation with union score (P < 0.01), but not for time from surgery (P = 0.18). CONCLUSIONS:We postulated that knee pain may correlate with either union or time from surgery. We found a statistically significant, negative correlation between knee pain and fracture union. There was no such association between pain and time from surgery.

journal_name

J Orthop Trauma

authors

Ryan SP,Tornetta P 3rd,Dielwart C,Kaye-Krall E

doi

10.1097/BOT.0b013e318213f587

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

731-5

issue

12

eissn

0890-5339

issn

1531-2291

journal_volume

25

pub_type

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