Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 135-141 |
| Number of pages | 7 |
| Journal | Journal of orthopaedic trauma |
| Volume | 30 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 1 2016 |
Bibliographical note
Publisher Copyright:© Copyright 2015 Wolters Kluwer Health, Inc. All rights reserved.
Keywords
- functional outcome
- intramedullary nail
- knee pain
- tibia fracture
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Character, Incidence, and Predictors of Knee Pain and Activity after Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture. / Obremskey, William; Agel, Julie; Archer, Kristin; To, Philip; Tornetta, Paul; Bhandari, Mohit; Guyatt, Gordon; Sanders, David W.; Schemitsch, Emil H.; 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; Bartha, Charlene; Low, Isolina; MacBean, Leila V.; Ramu, Mala; Reiber, Susan; Strapp, Ruth; Tieszer, Christina; Kreder, Hans J.; Stephen, David J G; Axelrod, Terry S.; Yee, Albert J M; Richards, Robin R.; Finkelstein, Joel; Gofton, Wade; Murnaghan, John; Schatztker, Joseph; Ford, Michael; Bulmer, Beverly; Conlan, Lisa; Laflamme, G. Yves; Berry, Gregory; Beaumont, Pierre; Ranger, Pierre; Laflamme, Georges Henri; Gagnon, Sylvain; Malo, Michel; Fernandes, Julio; Poirier, Marie France; McKee, Michael D.; Waddell, James P.; Bogoch, Earl R.; Daniels, Timothy R.; McBroom, Robert R.; Vicente, Milena R.; Storey, Wendy; Wild, Lisa M.; McCormack, Robert; Perey, Bertrand; Goetz, Thomas J.; Pate, Graham; Penner, Murray J.; Panagiotopoulos, Kostas; Pirani, Shafique; Dommisse, Ian G.; Loomer, Richard L.; Stone, Trevor; Moon, Karyn; Zomar, Mauri; Webb, Lawrence X.; Teasdall, Robert D.; Birkedal, John Peter; Martin, David Franklin; Ruch, David S.; Kilgus, Douglas J.; Pollock, David C.; Harris, Mitchel Brion; Wiesler, Ethan Ron; Ward, William G.; Shilt, Jeffrey Scott; Koman, Andrew L.; Poehling, Gary G.; Kulp, Brenda; Creevy, William R.; Stein, Andrew B.; Bono, Christopher T.; Einhorn, Thomas A.; Brown, T. Desmond; Pacicca, Donna; Sledge, John B.; Foster, Timothy E.; Voloshin, Ilva; Bolton, Jill; Carlisle, Hope; Shaughnessy, Lisa; Obremskey, William T.; LeCroy, C. Michael; Meinberg, Eric G.; Messer, Terry M.; Craig, William L.; Dirschl, Douglas R.; Caudle, Robert; Harris, Tim; Elhert, Kurt; Hage, William; Jones, Robert; Piedrahita, Luis; Schricker, Paul O.; Driver, Robin; Godwin, Jean; Kregor, Philip James; Tennent, Gregory; Truchan, Lisa M.; Sciadini, Marcus; Shuler, Franklin D.; Driver, Robin E.; Nading, Mary Alice; Neiderstadt, Jacky; Vap, Alexander R.; Vallier, Heather A.; Patterson, Brendan M.; Wilber, John H.; Wilber, Roger G.; Sontich, John K.; Moore, Timothy Alan; Brady, Drew; Cooperman, Daniel R.; Davis, John A.; Cureton, Beth Ann; Mandel, Scott; Orr, R. Douglas; Sadler, John T S; Hussain, Tousief; Rajaratnam, Krishan; Petrisor, Bradley; Drew, Brian; Bednar, Drew A.; Kwok, Desmond C H; Pettit, Shirley; Hancock, Jill; Cole, Peter A.; Smith, Joel J.; Brown, Gregory A.; Lange, Thomas A.; Stark, John G.; Levy, Bruce A.; Swiontkowski, Marc F.; Garaghty, Mary J.; Salzman, Joshua G.; Schutte, Carol A.; Tastad, Linda; Vang, Sandy; Seligson, David; Roberts, Craig S.; Malkani, Arthur L.; Sanders, Laura; Dyer, Carmen; Heinsen, Jessica; Smith, Langan; Madanagopal, Sudhakar; Frantz-Bush, Linda; Coupe, Kevin J.; Tucker, Jeffrey J.; Criswell, Allen R.; Buckle, Rosemary; Rechter, Alan Jeffrey; Sheth, Dhiren Shaskikant; Urquart, Brad; Trotscher, Thea; Anders, Mark J.; Kowalski, Joseph M.; Fineberg, Marc S.; Bone, Lawrence B.; Phillips, Matthew J.; Rohrbacher, Bernard; Stegemann, Philip; Mihalko, William M.; Buyea, Cathy; Augustine, Stephen J.; Jackson, William Thomas; Solis, Gregory; Ero, Sunday U.; Segina, Daniel N.; Berrey, Hudson B.; Agnew, Samuel G.; Fitzpatrick, Michael; Campbell, Lakina C.; Derting, Lynn; McAdams, June; Goslings, J. Carel; Ponsen, Kees Jan; Luitse, Jan; Kloen, Peter; Joosse, Pieter; Winkelhagen, Jasper; Duivenvoorden, Raphaël; Teague, David C.; Davey, Joseph; Sullivan, J. Andy; Ertl, William J J; Puckett, Timothy A.; Pasque, Charles B.; Tompkins, John F.; Gruel, Curtis R.; Kammerlocher, Paul; Lehman, Thomas P.; Puffinbarger, William R.; Carl, Kathy L.; Weber, Donald W.; Jomha, Nadr M.; Goplen, Gordon R.; Masson, Edward; Beaupre, Lauren A.; Greaves, Karen E.; Schaump, Lori N.; Jeray, Kyle J.; Goetz, David R.; Westberry, David E.; Broderick, J. Scott; Moon, Bryan S.; Tanner, Stephanie L.; Powell, James N.; Buckley, Richard E.; Elves, Leslie; Connolly, Stephen; Abraham, Edward P.; Steele, Trudy; Ellis, Thomas; Herzberg, Alex; Brown, George A.; Crawford, Dennis E.; Hart, Robert; Hayden, James; Orfaly, Robert M.; Vigland, Theodore; Vivekaraj, Maharani; Bundy, Gina L.; Miclau, Theodore; Matityahu, Amir; Coughlin, R. Richard; Kandemir, Utku; McClellan, R. Trigg; Lin, Cindy Hsin Hua; Karges, David; Cramer, Kathryn; Watson, J. Tracy; Moed, Berton; Scott, Barbara; Beck, Dennis J.; Orth, Carolyn; Puskas, David; Clark, Russell; Jones, Jennifer; Egol, Kenneth A.; Paksima, Nader; France, Monet; Wai, Eugene K.; Johnson, Garth; Wilkinson, Ross; Gruszczynski, Adam T.; Vexler, Liisa.
In: Journal of orthopaedic trauma, Vol. 30, No. 3, 01.03.2016, p. 135-141.Research output: Contribution to journal › Article › peer-review
}
TY - JOUR
T1 - Character, Incidence, and Predictors of Knee Pain and Activity after Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture
AU - Obremskey, William
AU - Agel, Julie
AU - Archer, Kristin
AU - To, Philip
AU - Tornetta, Paul
AU - Bhandari, Mohit
AU - Guyatt, Gordon
AU - Sanders, David W.
AU - Schemitsch, Emil H.
AU - Walter, Stephen
AU - Sprague, Sheila
AU - Heels-Ansdell, Diane
AU - Buckingham, Lisa
AU - Leece, Pamela
AU - Viveiros, Helena
AU - Mignott, Tashay
AU - Ansell, Natalie
AU - Sidorkewicz, Natalie
AU - Bombardier, Claire
AU - Berlin, Jesse A.
AU - Bosse, Michael
AU - Browner, Bruce
AU - Gillespie, Brenda
AU - Jones, Alan
AU - O'Brien, Peter
AU - Poolman, Rudolf
AU - Macleod, Mark D.
AU - Carey, Timothy
AU - Leitch, Kellie
AU - Bailey, Stuart
AU - Gurr, Kevin
AU - Konito, Ken
AU - Bartha, Charlene
AU - Low, Isolina
AU - MacBean, Leila V.
AU - Ramu, Mala
AU - Reiber, Susan
AU - Strapp, Ruth
AU - Tieszer, Christina
AU - Kreder, Hans J.
AU - Stephen, David J G
AU - Axelrod, Terry S.
AU - Yee, Albert J M
AU - Richards, Robin R.
AU - Finkelstein, Joel
AU - Gofton, Wade
AU - Murnaghan, John
AU - Schatztker, Joseph
AU - Ford, Michael
AU - Bulmer, Beverly
AU - Conlan, Lisa
AU - Laflamme, G. Yves
AU - Berry, Gregory
AU - Beaumont, Pierre
AU - Ranger, Pierre
AU - Laflamme, Georges Henri
AU - Gagnon, Sylvain
AU - Malo, Michel
AU - Fernandes, Julio
AU - Poirier, Marie France
AU - McKee, Michael D.
AU - Waddell, James P.
AU - Bogoch, Earl R.
AU - Daniels, Timothy R.
AU - McBroom, Robert R.
AU - Vicente, Milena R.
AU - Storey, Wendy
AU - Wild, Lisa M.
AU - McCormack, Robert
AU - Perey, Bertrand
AU - Goetz, Thomas J.
AU - Pate, Graham
AU - Penner, Murray J.
AU - Panagiotopoulos, Kostas
AU - Pirani, Shafique
AU - Dommisse, Ian G.
AU - Loomer, Richard L.
AU - Stone, Trevor
AU - Moon, Karyn
AU - Zomar, Mauri
AU - Webb, Lawrence X.
AU - Teasdall, Robert D.
AU - Birkedal, John Peter
AU - Martin, David Franklin
AU - Ruch, David S.
AU - Kilgus, Douglas J.
AU - Pollock, David C.
AU - Harris, Mitchel Brion
AU - Wiesler, Ethan Ron
AU - Ward, William G.
AU - Shilt, Jeffrey Scott
AU - Koman, Andrew L.
AU - Poehling, Gary G.
AU - Kulp, Brenda
AU - Creevy, William R.
AU - Stein, Andrew B.
AU - Bono, Christopher T.
AU - Einhorn, Thomas A.
AU - Brown, T. Desmond
AU - Pacicca, Donna
AU - Sledge, John B.
AU - Foster, Timothy E.
AU - Voloshin, Ilva
AU - Bolton, Jill
AU - Carlisle, Hope
AU - Shaughnessy, Lisa
AU - Obremskey, William T.
AU - LeCroy, C. Michael
AU - Meinberg, Eric G.
AU - Messer, Terry M.
AU - Craig, William L.
AU - Dirschl, Douglas R.
AU - Caudle, Robert
AU - Harris, Tim
AU - Elhert, Kurt
AU - Hage, William
AU - Jones, Robert
AU - Piedrahita, Luis
AU - Schricker, Paul O.
AU - Driver, Robin
AU - Godwin, Jean
AU - Kregor, Philip James
AU - Tennent, Gregory
AU - Truchan, Lisa M.
AU - Sciadini, Marcus
AU - Shuler, Franklin D.
AU - Driver, Robin E.
AU - Nading, Mary Alice
AU - Neiderstadt, Jacky
AU - Vap, Alexander R.
AU - Vallier, Heather A.
AU - Patterson, Brendan M.
AU - Wilber, John H.
AU - Wilber, Roger G.
AU - Sontich, John K.
AU - Moore, Timothy Alan
AU - Brady, Drew
AU - Cooperman, Daniel R.
AU - Davis, John A.
AU - Cureton, Beth Ann
AU - Mandel, Scott
AU - Orr, R. Douglas
AU - Sadler, John T S
AU - Hussain, Tousief
AU - Rajaratnam, Krishan
AU - Petrisor, Bradley
AU - Drew, Brian
AU - Bednar, Drew A.
AU - Kwok, Desmond C H
AU - Pettit, Shirley
AU - Hancock, Jill
AU - Cole, Peter A.
AU - Smith, Joel J.
AU - Brown, Gregory A.
AU - Lange, Thomas A.
AU - Stark, John G.
AU - Levy, Bruce A.
AU - Swiontkowski, Marc F.
AU - Garaghty, Mary J.
AU - Salzman, Joshua G.
AU - Schutte, Carol A.
AU - Tastad, Linda
AU - Vang, Sandy
AU - Seligson, David
AU - Roberts, Craig S.
AU - Malkani, Arthur L.
AU - Sanders, Laura
AU - Dyer, Carmen
AU - Heinsen, Jessica
AU - Smith, Langan
AU - Madanagopal, Sudhakar
AU - Frantz-Bush, Linda
AU - Coupe, Kevin J.
AU - Tucker, Jeffrey J.
AU - Criswell, Allen R.
AU - Buckle, Rosemary
AU - Rechter, Alan Jeffrey
AU - Sheth, Dhiren Shaskikant
AU - Urquart, Brad
AU - Trotscher, Thea
AU - Anders, Mark J.
AU - Kowalski, Joseph M.
AU - Fineberg, Marc S.
AU - Bone, Lawrence B.
AU - Phillips, Matthew J.
AU - Rohrbacher, Bernard
AU - Stegemann, Philip
AU - Mihalko, William M.
AU - Buyea, Cathy
AU - Augustine, Stephen J.
AU - Jackson, William Thomas
AU - Solis, Gregory
AU - Ero, Sunday U.
AU - Segina, Daniel N.
AU - Berrey, Hudson B.
AU - Agnew, Samuel G.
AU - Fitzpatrick, Michael
AU - Campbell, Lakina C.
AU - Derting, Lynn
AU - McAdams, June
AU - Goslings, J. Carel
AU - Ponsen, Kees Jan
AU - Luitse, Jan
AU - Kloen, Peter
AU - Joosse, Pieter
AU - Winkelhagen, Jasper
AU - Duivenvoorden, Raphaël
AU - Teague, David C.
AU - Davey, Joseph
AU - Sullivan, J. Andy
AU - Ertl, William J J
AU - Puckett, Timothy A.
AU - Pasque, Charles B.
AU - Tompkins, John F.
AU - Gruel, Curtis R.
AU - Kammerlocher, Paul
AU - Lehman, Thomas P.
AU - Puffinbarger, William R.
AU - Carl, Kathy L.
AU - Weber, Donald W.
AU - Jomha, Nadr M.
AU - Goplen, Gordon R.
AU - Masson, Edward
AU - Beaupre, Lauren A.
AU - Greaves, Karen E.
AU - Schaump, Lori N.
AU - Jeray, Kyle J.
AU - Goetz, David R.
AU - Westberry, David E.
AU - Broderick, J. Scott
AU - Moon, Bryan S.
AU - Tanner, Stephanie L.
AU - Powell, James N.
AU - Buckley, Richard E.
AU - Elves, Leslie
AU - Connolly, Stephen
AU - Abraham, Edward P.
AU - Steele, Trudy
AU - Ellis, Thomas
AU - Herzberg, Alex
AU - Brown, George A.
AU - Crawford, Dennis E.
AU - Hart, Robert
AU - Hayden, James
AU - Orfaly, Robert M.
AU - Vigland, Theodore
AU - Vivekaraj, Maharani
AU - Bundy, Gina L.
AU - Miclau, Theodore
AU - Matityahu, Amir
AU - Coughlin, R. Richard
AU - Kandemir, Utku
AU - McClellan, R. Trigg
AU - Lin, Cindy Hsin Hua
AU - Karges, David
AU - Cramer, Kathryn
AU - Watson, J. Tracy
AU - Moed, Berton
AU - Scott, Barbara
AU - Beck, Dennis J.
AU - Orth, Carolyn
AU - Puskas, David
AU - Clark, Russell
AU - Jones, Jennifer
AU - Egol, Kenneth A.
AU - Paksima, Nader
AU - France, Monet
AU - Wai, Eugene K.
AU - Johnson, Garth
AU - Wilkinson, Ross
AU - Gruszczynski, Adam T.
AU - Vexler, Liisa
N1 - Publisher Copyright: © Copyright 2015 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2016/3/1
Y1 - 2016/3/1
N2 - 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.
AB - 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.
KW - functional outcome
KW - intramedullary nail
KW - knee pain
KW - tibia fracture
UR - http://www.scopus.com/inward/record.url?scp=84959129663&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84959129663&partnerID=8YFLogxK
U2 - 10.1097/BOT.0000000000000475
DO - 10.1097/BOT.0000000000000475
M3 - Article
C2 - 26496180
AN - SCOPUS:84959129663
VL - 30
SP - 135
EP - 141
JO - Journal of Orthopaedic Trauma
JF - Journal of Orthopaedic Trauma
SN - 0890-5339
IS - 3
ER -