Character, Incidence, and Predictors of Knee Pain and Activity After Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture
العنوان: | Character, Incidence, and Predictors of Knee Pain and Activity After Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture |
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المؤلفون: | Obremskey, William, Agel, Julie, Archer, Kristin, To, Philip, Tornetta, Paul, Bhandari, Mohit, Guyatt, Gordon, Sanders, David W., Schemitsch, Emil H., Swiontkowski, Marc, Walter, Stephen, Sprague, Sheila, Heels-Ansdell, Diane, Buckingham, Lisa, Leece, Pamela, Viveiros, Helena, Mignott, Tashay, Ansell, Natalie, Sidorkewicz, Natalie, Bombardier, Claire, Berlin, Jesse A., Bosse, Michael, Browner, Bruce, Gillespie, Brenda, Jones, Alan, O'Brien, Peter, Poolman, Rudolf, Macleod, Mark D., Carey, Timothy, Leitch, Kellie, Bailey, Stuart, Gurr, Kevin, Konito, Ken |
المساهمون: | Amsterdam Movement Sciences, Surgery, Other Research, Emergency Department, Orthopedic Surgery and Sports Medicine, Other departments |
المصدر: | Journal of orthopaedic trauma, 30(3), 135-141. Lippincott Williams and Wilkins Bone and Joint Institute |
سنة النشر: | 2017 |
مصطلحات موضوعية: | Male, Knee Joint, Tibia Fracture, Comorbidity, law.invention, Intramedullary rod, Cohort Studies, 0302 clinical medicine, law, Risk Factors, Medicine and Health Sciences, Medicine, Orthopedics and Sports Medicine, knee pain, Netherlands, 030222 orthopedics, Pain, Postoperative, Incidence (epidemiology), Incidence, General Medicine, Patella, tibia fracture, Arthralgia, Fracture Fixation, Intramedullary, Causality, Treatment Outcome, Female, medicine.symptom, Cohort study, Adult, medicine.medical_specialty, Canada, Article, functional outcome, 03 medical and health sciences, Humans, intramedullary nail, Retrospective Studies, business.industry, 030208 emergency & critical care medicine, Retrospective cohort study, United States, Surgery, Tibial Fractures, Knee pain, business, human activities |
الوصف: | © Copyright 2015 Wolters Kluwer Health, Inc. All rights reserved. Objective: To study the activity and incidence of knee pain after sustaining an isolated tibia fracture treated with an infrapatellar intramedullary nail at 1 year. Design: Retrospective review of prospective cohort. Setting: Multicenter Academic and Community hospitals. Patients: Four hundred thirty-seven patients with an isolated tibia fracture completed a 12-month assessment on pain and self-reported activity. Intervention: Infrapatellar intramedullary nail. Outcomes: Demographic information, comorbid conditions, injury characteristics, and surgical technique were recorded. Knee pain was defined on a 1-7 scale with 1 being "no pain" and 7 being a "very great deal of pain." Knee pain >4 was considered clinically significant. Patients reported if they were "able," "able with difficulty," or "unable" to perform the following activities: kneel, run, climb stairs, and walk prolonged. Variables were tested in multilevel multivariable regression analyses. Results: In knee pain, 11% of patients reported a "good deal" to a "very great deal" of pain (>4), and 52% of patients reported "no" or "very little" pain at 12 months. In activity at 12 months, 26% and 29% of patients were unable to kneel or run, respectively, and 31% and 35% of patients, respectively, stated they were able with difficulty or unable to use stairs or walk. Conclusions: Clinically significant knee pain (>4/7) was present in 11% of patients 1 year after a tibia fracture. Of note, 31%-71% of patients had difficulty performing or were unable to perform routine daily activities of kneeling, running, and stair climbing, or walking prolonged distances. |
وصف الملف: | application/pdf |
تدمد: | 1531-2291 0890-5339 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::39cb8da6d360cfe7341a80c18fd449ed https://pubmed.ncbi.nlm.nih.gov/26496180 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....39cb8da6d360cfe7341a80c18fd449ed |
قاعدة البيانات: | OpenAIRE |
تدمد: | 15312291 08905339 |
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