The relationship between the quadriceps muscle strength and the anterior knee pain occurring after locked intramedullary nailing for tibial diaphysis fractures

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dc.contributor.authorDemirtas, Abdullah
dc.contributor.authorAzboy, Ibrahim
dc.contributor.authorDurakbasa, Mehmet Oguz
dc.contributor.authorUcar, Bekir Yavuz
dc.contributor.authorMercan, Ahmet Sukru
dc.contributor.authorCakir, Idris Ahmet
dc.date.accessioned2024-04-24T17:39:57Z
dc.date.available2024-04-24T17:39:57Z
dc.date.issued2011
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjectives: The relationship between the quadriceps muscle strength and anterior knee pain occuring after locked tibial intramedullary nailing for tibial shaft (diaphysis) fracture was investigated. Patients and methods: Thirty-eight patients who were treated with locked intramedullary nailing for tibial shaft fractures were included in this study. The patients who had anterior knee pain before the surgery were excluded. All patients were operated on by splitting the patellar tendon in the middle and using superior approach. The fractures were all statically locked. Isometric quadriceps strengthening exercises were begun immediately in the postoperative period. The patients were divided into two groups whether they had anterior knee pain (group I; 01) or not (group 2; G2). There were 18 patients in G1 (12 males, 6 females; mean age 36.9 years) and 20 patients (14 males, 6 females; mean age 35.4 years) in G2. Quadriceps muscle strength was evaluated with using the Daniel ve Worthingham's manual grading criteria (0-5). The mean follow-up time was 27.4 months (range 11-51 months) in G1 and 30.5 months (range 12-59 months) in G2. Results: Decrease in quadriceps muscle strength was observed in eight patients in G1 and two patients in G2. The relation between anterior knee pain and decrease in quadriceps muscle strength was significant (p=0.02). Conclusion: Anterior knee pain after intramedullary nailing of tibial shaft fractures is related to quadriceps muscle weakness. However quadriceps muscle weakness is not the only effective factor that leads to anterior knee pain. Anterior knee pain can be reduced mostly with appropriate rehabilitation programme.en_US
dc.identifier.endpage84en_US
dc.identifier.issn1305-8282
dc.identifier.issue2en_US
dc.identifier.pmid21762062
dc.identifier.scopus2-s2.0-80052006105
dc.identifier.scopusqualityN/A
dc.identifier.startpage81en_US
dc.identifier.urihttps://hdl.handle.net/11468/21469
dc.identifier.volume22en_US
dc.identifier.wosWOS:000293815300005
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isotren_US
dc.publisherTurkish Joint Diseases Foundationen_US
dc.relation.ispartofEklem Hastaliklari Ve Cerrahisi-Joint Diseases and Related Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnterior Knee Painen_US
dc.subjectInramedullary Nailen_US
dc.subjectPatellar Tendonen_US
dc.subjectQuadriceps Strengthen_US
dc.subjectTibial Fractureen_US
dc.titleThe relationship between the quadriceps muscle strength and the anterior knee pain occurring after locked intramedullary nailing for tibial diaphysis fracturesen_US
dc.titleThe relationship between the quadriceps muscle strength and the anterior knee pain occurring after locked intramedullary nailing for tibial diaphysis fractures
dc.typeArticleen_US

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