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- Talk
- 15/09/2021
- Canada
Comparison of Patient Reported Outcomes Following Suprapatellar Versus Infrapatellar Nailing Techniques for Tibial Shaft Fractures: A Systematic Review and Meta-Analysis
Description
Aresh Sepehri, a PGY4 orthopedic surgery resident at the University of British Columbia, presents a metaanalysis comparing patient-reported outcomes related to suprapatellar versus infrapatellar intramedullary nailing for tibial shaft fractures. The presentation acknowledges the contributions of co-authors and the COA committee. The research aims to study the increasing popularity of suprapatellar techniques, thought to ease fracture reduction and reduce anterior knee pain.
The study analyzes patient outcomes, operative time, fluoroscopy time, and radiographic alignment, drawing from 12 comparative studies, including randomized controlled trials and retrospective cohort studies, with 1,196 patients analyzed. Findings show a statistically significant improvement in the Lysholm knee score for the suprapatellar group, although it did not meet the minimal clinically important difference (MCID). Other outcome measures revealed no significant differences.
Furthermore, the suprapatellar approach demonstrated reduced operative and fluoroscopy times, along with improved radiographic alignment. However, the variation in outcome measures across studies complicates interpretations. In summary, while results favor suprapatellar methods, their clinical significance remains debatable in guiding surgical practice.