A comparative analysis of the infrapatellar and suprapatellar approaches for intramedullary nail fixation in tibia fractures

Objective: Intramedullary nailing is a commonly used method for fixing tibia fractures due to its benefits. However, it can lead complications such as malalignment and knee pain. The traditional infrapatellar approach associated with higher rates, while suprapatellar has shown lower rates. Knee pain, particularly at the site of nail insertion, common issue reported by patients. Different approaches have been compared, but no significant difference found in terms chronic To assess clinical, radiographic, functional outcomes after intramedullary (IMN) fixation an compared approach. Methods: Retrospective study: Level 1 trauma centre. Patients 30 were treated between 2022 2023. A retrospective chart review was conducted. clinical IMN groups versus Multivariate models created control confounding demographic, comorbidity, injury-related confounders. Results: Outcome measures included non-union, malunion, infection. Subjective patient assessed using pain interference (Pi) physical function (PF) Patient-Reported Measurements Systems scores (PROMIS). There 14 patients (46%) 16 (54%). On multivariate analysis, independently decreased risk malunion postoperative rate non-union infection or Patient Reported scores. Conclusion: Suprapatellar tibial shaft there are differences approaches.