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Posted on Aug 4, 2014, 12:35 am
#1
Hello!

I found this article and am asking myself, if its conclusion has become known in this forum and if there are LL methods, which actually use this kind of approach?
QuoteThe classic parapatellar and transtendon approaches are associated with postoperative knee pain. The etiology of this pain is likely multifactorial, including stretching the tendon intraoperatively, damage and scarring to the soft tissues, and infrapatellar nerve injury. This pain has a significant impact on patient outcome, particularly in young manual laborers, who are most commonly affected by tibial shaft fractures. The percutaneous lateral suprapatellar incision theoretically avoids these potential causes of pain, likely improving patient outcome and increasing patient satisfaction. It also allows the patient to avoid periods of limited activity due to the healing of a split tendon. This can be particularly important for athletes.
http://www.healio.com/orthopedics/knee/journals/ortho/%7B044d928d-d948-434f-a658-36cc26bcb2c1%7D/intramedullary-nailing-of-tibial-fractures-review-of-surgical-techniques-and-description-of-a-percutaneous-lateral-suprapatellar-approach
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Posted on Aug 4, 2014, 1:02 am
#2
I'm particularly interested in latest results of this technique. Does it really erase all knee pain issues?
Edit:
I'm not sure, but it seems that this method has been not tested enough or is subject to a limit unsolved yet.
QuoteThe lateral suprapatellar access route for placement of an intramedullary nail in tibial fractures is an alternative that may be viable with adequate instruments, which need to be developed through more controlled studies.

 
http://www.scielo.br/scielo.php?pid=S0102-36162012000200005&script=sci_arttext&tlng=en

Please note that this study examined on cadavers only.
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Posted on Aug 4, 2014, 2:15 am
#3
Quote from: Sweden on August 04, 2014, 01:25:00 AMNice to hear. Hopefully there will be a safe way to remove the rods in my legs in the future without having severe knee pain.

I'm not taking the risk of opening my knees again.
I've red your blog in old forum . Apparently you are the only user there who reports long term knee pain?!

I have a shorter leg by 2cm and was originally advised to get Precice 2, but when I red of the problem with anterior knee pain, I was changing to external fixateur. These studies are new to me and I am currently asking my doctor, if he has heart of this approach already and whether it can be used with Precice 2.
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