RCT - Suprapatellar Approach Versus Lateral Parapatellar Approach in Tibial Shaft Fracture
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: suprapatellar approach, extra-articular lateral parapatellar approach.
- Who it may be relevant to
- Registry conditions: Tibial Shaft Fracture, Intramedullary Nail. Basic parameters: 18 years — 60 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparison of Suprapatellar Approach Versus Extra-articular Lateral Parapatellar Approach in Tibial Shaft Fractures: A Randomized Controlled Trial
Overview
This study aims to compare 2 surgical techniques for tibial shaft nailing (suprapatellar approach vs extra-articular lateral parapatellar approach). following peri-operative and postoperative outcomes
Detailed description
This is a randomized controlled trial study, compared extra-articular lateral parapatellar approach with suprapatellar approach in tibial shaft nailing. peri-operative data are operative time, blood loss, fluoroscopy time, hospital stay. post-operative outcomes include Lysholm Knee Score, VAS-knee, range of motion. these outcomes are following postoperative day 1, 2 weeks, 6 weeks, 3 months and 6 months.
Interventions
- Procedure suprapatellar approach
semi-extended position longitudinal incision 2 cm. above patella nail insertion procedure under patellofemoral joint - Procedure extra-articular lateral parapatellar approach
semi-extended position longitudinal incision 4-5 cm., lateral to patellar tendon nail insertion procedure
Primary outcome measures
- Lysholm Knee Score [Time frame: 6 months]
Secondary outcome measures (5)
- operative time [Time frame: operation]
- VAS score of knee [Time frame: POD 1, 2 weeks, 6 weeks, 3 months, 6 months]
- range of motion [Time frame: POD 1, 2 weeks, 6 weeks, 3 months, 6 months]
- intraoperative blood loss [Time frame: operation]
- fluoroscopy time [Time frame: operation]
Eligibility criteria
Inclusion criteria
- age 18-60 years
- tibial shaft fractures
Exclusion criteria
- pervious knee injury
- open fracture at least Gustilo grade II
- ipsilateral femur and ankle fractures
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07657559 · 016/2567