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Comparison of Functional Recovery Following Medial Parapatellar and Transpatellar Approaches for Intramedullary Nailing of Tibial Shaft Fractures

RecruitingNAAges 18 Years - 60 YearsAllAllama Iqbal Medical College
NCT07761780 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Tibial shaft fractures are breaks in the main part of the shin bone and commonly require surgery to restore alignment and allow the patient to return to normal activities. Intramedullary nailing is a commonly used surgical treatment for these fractures. There are different surgical approaches that can be used to insert the nail, including the medial parapatellar approach and the transpatellar approach. This study will compare these two surgical approaches to determine whether one is associated with better recovery after surgery. A total of 56 adults with acute tibial shaft fractures will participate in the study. Participants will be randomly assigned to receive intramedullary nailing through either the medial parapatellar approach or the transpatellar approach. Recovery will be evaluated after surgery using measures of lower-limb function, pain, and knee movement. Lower-limb function

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📋 Eligibility rules (as published)
Inclusion Criteria: * Adults aged 18 to 60 years, irrespective of sex. * Patients with an acute tibial shaft fracture confirmed by radiographic examination. * Gustilo-Anderson type I, II, or IIIA open fractures. * Patients who are eligible for intramedullary interlocking nailing according to the treating orthopedic surgeon. * Patients willing and able to provide written informed consent. Exclusion Criteria: * Previous fracture or surgery involving the affected tibia. * Osteoporosis or other conditions significantly affecting bone healing. * Diabetes mellitus, peripheral vascular disease, autoimmune disorders, or other systemic conditions that may adversely affect bone healing or postoperative recovery. * Neurovascular injury involving the affected limb.
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What it tests

  • Intramedullary Nailing Using Medial Parapatellar Approach
  • Intramedullary Nailing Using Transpatellar Approach
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Where

1 site
Jinnah Hospital Lahore
Lahore, Pakistan
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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