Comparative Study to Assess the Functional Outcome Between Suprapatellar and Infrapatellar Approaches for Tibial Fractures Treated with Expert Tibial Nail in a Tertiary Care Center

Dr. Arun K N, Dr. Bharath Narayanasamy, Dr. Mohan Patil C, Dr. Karthik, Dr Akhilesh A G

Abstract: Introduction: Tibial fractures are among the most common long bone fractures encountered in orthopedic practice. Intramedullary interlocking nailing remains the gold standard treatment. Traditionally, the infrapatellar approach has been widely used; however, the suprapatellar approach has gained increasing popularity due to improved fracture reduction and reduced anterior knee pain. Aim of the study: To compare the functional outcomes of suprapatellar and infrapatellar approaches for tibial fractures treated with Expert tibial nails. Materials and Method: This hospital-based prospective study was conducted from January 2024 to July 2025, involving 50 patients with tibial fractures treated with Expert tibial Nail by either the suprapatellar or infrapatellar approach. Data collected included patient demographics, mechanism of injury, clinical and radiological evaluations, and postoperative follow-up assessments using the Lysholm knee score and Lower extremity functional score. Results: The suprapatellar approach demonstrated significantly shorter operative time (79.88 ± 5.10 vs 100.76 ± 6.33 minutes; t = 12.838, p

Keywords: Tibial fracture, Intramedullary nailing, Suprapatellar approach, Infrapatellar approach, Lysholm score, Lower extremity functional score

How to Cite?: Dr. Arun K N, Dr. Bharath Narayanasamy, Dr. Mohan Patil C, Dr. Karthik, Dr Akhilesh A G, "Comparative Study to Assess the Functional Outcome Between Suprapatellar and Infrapatellar Approaches for Tibial Fractures Treated with Expert Tibial Nail in a Tertiary Care Center", Volume 15 Issue 3, March 2026, International Journal of Science and Research (IJSR), Pages: 1859-1864, https://www.ijsr.net/getabstract.php?paperid=SR26330171807, DOI: https://dx.doi.org/10.21275/SR26330171807

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