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dc.contributor.authorTürkmen, İsmail
dc.contributor.authorSaǧlam, Yavuz
dc.contributor.authorTürkmensoy, Fatih
dc.contributor.authorKemah, Bahattin
dc.contributor.authorKara, Adnan
dc.contributor.authorÜnay, Koray
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:36:32Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:36:32Z
dc.date.issued2017en_US
dc.identifier.citationTürkmen, İ., Sağlam, Y., Türkmensoy, F., Kemah, B., Kara, A. ve Ünay, K. (2017). Influence of sagittal plane malpositioning of the patella on anterior knee pain after tibia intramedullary nailing. European Journal of Orthopaedic Surgery and Traumatology, 27(1), 133-139. https://dx.doi.org/10.1007/s00590-016-1856-xen_US
dc.identifier.issn1633-8065
dc.identifier.urihttps://hdl.handle.net/20.500.12511/1190
dc.identifier.urihttps://dx.doi.org/10.1007/s00590-016-1856-x
dc.description.abstractPurpose: Anterior knee pain (AKP) is one of the most common complications after tibia intramedullary surgery. We evaluated changes in patellar tendon length after tibia intramedullary nailing surgery using a transtendinous approach and assessed the importance of nail position in relation to the anterior tibial cortex and joint line. Methods: Two surgeons blinded to patients’ pain status measured both the knee Insall–Salvati and Caton–Deschamps indexes on 30° flexion lateral knee X-rays of 33 patients. Superior nail prominence (the distance from the proximal tip of the nail to the tibial plateau) and anterior nail prominence (the distance from the anterior tip of the nail to the anterior tibial cortex) were measured on the CT. Results: Clinical assessment showed that 10 patients (30 %) had AKP at the last follow-up. HSS and Lysholm scores and the incidence of AKP were similar between patients whose IM nails were removed and those who still had them. HSS score, Insall–Salvati, and Caton–Deschamps indexes were significantly lower in the operated extremity than in the healthy limb at last follow-up. No association was demonstrated between AKP and nail position in relation to the anterior tibial cortex or tibial plateau. Conclusions: According to our study, although the patellar tendon shortened significantly on the affected side compared with the contralateral side, these measurements did not correlate with the presence or absence of pain. AKP and functional knee scores after tibia IM nailing using a transtendinous approach were not associated with nail position in relation to the anterior tibial cortex or tibial plateau. Level of evidence: Level 3 (Case control study).en_US
dc.language.isoengen_US
dc.publisherSpringer-Verlag Franceen_US
dc.rightsinfo:eu-repo/semantics/embargoedAccessen_US
dc.subjectAnterior Knee Painen_US
dc.subjectPatellar Tendon Shorteningen_US
dc.subjectTibia Intramedullary Nailingen_US
dc.subjectTranspatellar Approachen_US
dc.titleInfluence of sagittal plane malpositioning of the patella on anterior knee pain after tibia intramedullary nailingen_US
dc.typearticleen_US
dc.relation.journalEuropean Journal of Orthopaedic Surgery and Traumatologyen_US
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalıen_US
dc.authorid0000-0001-8437-5405en_US
dc.identifier.volume27en_US
dc.identifier.issue1en_US
dc.identifier.startpage133en_US
dc.identifier.endpage139en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.identifier.doi10.1007/s00590-016-1856-xen_US


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