Character, Incidence, and Predictors of Knee Pain and Activity after Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture

William Obremskey, Julie Agel, Kristin Archer, Philip To, Paul Tornetta, Mohit Bhandari, Gordon Guyatt, David W. Sanders, Emil H. Schemitsch, Marc Swiontkowski, Stephen Walter, Sheila Sprague, Diane Heels-Ansdell, Lisa Buckingham, Pamela Leece, Helena Viveiros, Tashay Mignott, Natalie Ansell, Natalie Sidorkewicz, Claire Bombardier & 253 others Jesse A. Berlin, Michael Bosse, Bruce Browner, Brenda Gillespie, Alan Jones, Peter O'Brien, Rudolf Poolman, Mark D. Macleod, Timothy Carey, Kellie Leitch, Stuart Bailey, Kevin Gurr, Ken Konito, Charlene Bartha, Isolina Low, Leila V. MacBean, Mala Ramu, Susan Reiber, Ruth Strapp, Christina Tieszer, Hans J. Kreder, David J G Stephen, Terry S. Axelrod, Albert J M Yee, Robin R. Richards, Joel Finkelstein, Wade Gofton, John Murnaghan, Joseph Schatztker, Michael Ford, Beverly Bulmer, Lisa Conlan, G. Yves Laflamme, Gregory Berry, Pierre Beaumont, Pierre Ranger, Georges Henri Laflamme, Sylvain Gagnon, Michel Malo, Julio Fernandes, Marie France Poirier, Michael D. McKee, James P. Waddell, Earl R. Bogoch, Timothy R. Daniels, Robert R. McBroom, Milena R. Vicente, Wendy Storey, Lisa M. Wild, Robert McCormack, Bertrand Perey, Thomas J. Goetz, Graham Pate, Murray J. Penner, Kostas Panagiotopoulos, Shafique Pirani, Ian G. Dommisse, Richard L. Loomer, Trevor Stone, Karyn Moon, Mauri Zomar, Lawrence X. Webb, Robert D. Teasdall, John Peter Birkedal, David Franklin Martin, David S. Ruch, Douglas J. Kilgus, David C. Pollock, Mitchel Brion Harris, Ethan Ron Wiesler, William G. Ward, Jeffrey Scott Shilt, Andrew L. Koman, Gary G. Poehling, Brenda Kulp, William R. Creevy, Andrew B. Stein, Christopher T. Bono, Thomas A. Einhorn, T. Desmond Brown, Donna Pacicca, John B. Sledge, Timothy E. Foster, Ilva Voloshin, Jill Bolton, Hope Carlisle, Lisa Shaughnessy, William T. Obremskey, C. Michael LeCroy, Eric G. Meinberg, Terry M. Messer, William L. Craig, Douglas R. Dirschl, Robert Caudle, Tim Harris, Kurt Elhert, William Hage, Robert Jones, Luis Piedrahita, Paul O. Schricker, Robin Driver, Jean Godwin, Philip James Kregor, Gregory Tennent, Lisa M. Truchan, Marcus Sciadini, Franklin D. Shuler, Robin E. Driver, Mary Alice Nading, Jacky Neiderstadt, Alexander R. Vap, Heather A. Vallier, Brendan M. Patterson, John H. Wilber, Roger G. Wilber, John K. Sontich, Timothy Alan Moore, Drew Brady, Daniel R. Cooperman, John A. Davis, Beth Ann Cureton, Scott Mandel, R. Douglas Orr, John T S Sadler, Tousief Hussain, Krishan Rajaratnam, Bradley Petrisor, Brian Drew, Drew A. Bednar, Desmond C H Kwok, Shirley Pettit, Jill Hancock, Peter A. Cole, Joel J. Smith, Gregory A. Brown, Thomas A. Lange, John G. Stark, Bruce A. Levy, Marc F. Swiontkowski, Mary J. Garaghty, Joshua G. Salzman, Carol A. Schutte, Linda Tastad, Sandy Vang, David Seligson, Craig S. Roberts, Arthur L. Malkani, Laura Sanders, Carmen Dyer, Jessica Heinsen, Langan Smith, Sudhakar Madanagopal, Linda Frantz-Bush, Kevin J. Coupe, Jeffrey J. Tucker, Allen R. Criswell, Rosemary Buckle, Alan Jeffrey Rechter, Dhiren Shaskikant Sheth, Brad Urquart, Thea Trotscher, Mark J. Anders, Joseph M. Kowalski, Marc S. Fineberg, Lawrence B. Bone, Matthew J. Phillips, Bernard Rohrbacher, Philip Stegemann, William M. Mihalko, Cathy Buyea, Stephen J. Augustine, William Thomas Jackson, Gregory Solis, Sunday U. Ero, Daniel N. Segina, Hudson B. Berrey, Samuel G. Agnew, Michael Fitzpatrick, Lakina C. Campbell, Lynn Derting, June McAdams, J. Carel Goslings, Kees Jan Ponsen, Jan Luitse, Peter Kloen, Pieter Joosse, Jasper Winkelhagen, Raphaël Duivenvoorden, David C. Teague, Joseph Davey, J. Andy Sullivan, William J J Ertl, Timothy A. Puckett, Charles B. Pasque, John F. Tompkins, Curtis R. Gruel, Paul Kammerlocher, Thomas P. Lehman, William R. Puffinbarger, Kathy L. Carl, Donald W. Weber, Nadr M. Jomha, Gordon R. Goplen, Edward Masson, Lauren A. Beaupre, Karen E. Greaves, Lori N. Schaump, Kyle J. Jeray, David R. Goetz, David E. Westberry, J. Scott Broderick, Bryan S. Moon, Stephanie L. Tanner, James N. Powell, Richard E. Buckley, Leslie Elves, Stephen Connolly, Edward P. Abraham, Trudy Steele, Thomas Ellis, Alex Herzberg, George A. Brown, Dennis E. Crawford, Robert Hart, James Hayden, Robert M. Orfaly, Theodore Vigland, Maharani Vivekaraj, Gina L. Bundy, Theodore Miclau, Amir Matityahu, R. Richard Coughlin, Utku Kandemir, R. Trigg McClellan, Cindy Hsin Hua Lin, David Karges, Kathryn Cramer, J. Tracy Watson, Berton Moed, Barbara Scott, Dennis J. Beck, Carolyn Orth, David Puskas, Russell Clark, Jennifer Jones, Kenneth A. Egol, Nader Paksima, Monet France, Eugene K. Wai, Garth Johnson, Ross Wilkinson, Adam T. Gruszczynski, Liisa Vexler

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)135-141
Number of pages7
JournalJournal of Orthopaedic Trauma
Volume30
Issue number3
DOIs
StatePublished - Mar 1 2016
Externally publishedYes

Fingerprint

Intramedullary Fracture Fixation
Tibia
Knee
Pain
Incidence
Nails
Intraoperative Complications
Community Hospital
Pain Measurement
Running
Walking
Cohort Studies
Regression Analysis
Demography

Keywords

  • functional outcome
  • intramedullary nail
  • knee pain
  • tibia fracture

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

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.; Swiontkowski, Marc; 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 journalArticle

Obremskey, W, Agel, J, Archer, K, To, P, Tornetta, P, Bhandari, M, Guyatt, G, Sanders, DW, Schemitsch, EH, Swiontkowski, M, Walter, S, Sprague, S, Heels-Ansdell, D, Buckingham, L, Leece, P, Viveiros, H, Mignott, T, Ansell, N, Sidorkewicz, N, Bombardier, C, Berlin, JA, Bosse, M, Browner, B, Gillespie, B, Jones, A, O'Brien, P, Poolman, R, Macleod, MD, Carey, T, Leitch, K, Bailey, S, Gurr, K, Konito, K, Bartha, C, Low, I, MacBean, LV, Ramu, M, Reiber, S, Strapp, R, Tieszer, C, Kreder, HJ, Stephen, DJG, Axelrod, TS, Yee, AJM, Richards, RR, Finkelstein, J, Gofton, W, Murnaghan, J, Schatztker, J, Ford, M, Bulmer, B, Conlan, L, Laflamme, GY, Berry, G, Beaumont, P, Ranger, P, Laflamme, GH, Gagnon, S, Malo, M, Fernandes, J, Poirier, MF, McKee, MD, Waddell, JP, Bogoch, ER, Daniels, TR, McBroom, RR, Vicente, MR, Storey, W, Wild, LM, McCormack, R, Perey, B, Goetz, TJ, Pate, G, Penner, MJ, Panagiotopoulos, K, Pirani, S, Dommisse, IG, Loomer, RL, Stone, T, Moon, K, Zomar, M, Webb, LX, Teasdall, RD, Birkedal, JP, Martin, DF, Ruch, DS, Kilgus, DJ, Pollock, DC, Harris, MB, Wiesler, ER, Ward, WG, Shilt, JS, Koman, AL, Poehling, GG, Kulp, B, Creevy, WR, Stein, AB, Bono, CT, Einhorn, TA, Brown, TD, Pacicca, D, Sledge, JB, Foster, TE, Voloshin, I, Bolton, J, Carlisle, H, Shaughnessy, L, Obremskey, WT, LeCroy, CM, Meinberg, EG, Messer, TM, Craig, WL, Dirschl, DR, Caudle, R, Harris, T, Elhert, K, Hage, W, Jones, R, Piedrahita, L, Schricker, PO, Driver, R, Godwin, J, Kregor, PJ, Tennent, G, Truchan, LM, Sciadini, M, Shuler, FD, Driver, RE, Nading, MA, Neiderstadt, J, Vap, AR, Vallier, HA, Patterson, BM, Wilber, JH, Wilber, RG, Sontich, JK, Moore, TA, Brady, D, Cooperman, DR, Davis, JA, Cureton, BA, Mandel, S, Orr, RD, Sadler, JTS, Hussain, T, Rajaratnam, K, Petrisor, B, Drew, B, Bednar, DA, Kwok, DCH, Pettit, S, Hancock, J, Cole, PA, Smith, JJ, Brown, GA, Lange, TA, Stark, JG, Levy, BA, Swiontkowski, MF, Garaghty, MJ, Salzman, JG, Schutte, CA, Tastad, L, Vang, S, Seligson, D, Roberts, CS, Malkani, AL, Sanders, L, Dyer, C, Heinsen, J, Smith, L, Madanagopal, S, Frantz-Bush, L, Coupe, KJ, Tucker, JJ, Criswell, AR, Buckle, R, Rechter, AJ, Sheth, DS, Urquart, B, Trotscher, T, Anders, MJ, Kowalski, JM, Fineberg, MS, Bone, LB, Phillips, MJ, Rohrbacher, B, Stegemann, P, Mihalko, WM, Buyea, C, Augustine, SJ, Jackson, WT, Solis, G, Ero, SU, Segina, DN, Berrey, HB, Agnew, SG, Fitzpatrick, M, Campbell, LC, Derting, L, McAdams, J, Goslings, JC, Ponsen, KJ, Luitse, J, Kloen, P, Joosse, P, Winkelhagen, J, Duivenvoorden, R, Teague, DC, Davey, J, Sullivan, JA, Ertl, WJJ, Puckett, TA, Pasque, CB, Tompkins, JF, Gruel, CR, Kammerlocher, P, Lehman, TP, Puffinbarger, WR, Carl, KL, Weber, DW, Jomha, NM, Goplen, GR, Masson, E, Beaupre, LA, Greaves, KE, Schaump, LN, Jeray, KJ, Goetz, DR, Westberry, DE, Broderick, JS, Moon, BS, Tanner, SL, Powell, JN, Buckley, RE, Elves, L, Connolly, S, Abraham, EP, Steele, T, Ellis, T, Herzberg, A, Brown, GA, Crawford, DE, Hart, R, Hayden, J, Orfaly, RM, Vigland, T, Vivekaraj, M, Bundy, GL, Miclau, T, Matityahu, A, Coughlin, RR, Kandemir, U, McClellan, RT, Lin, CHH, Karges, D, Cramer, K, Watson, JT, Moed, B, Scott, B, Beck, DJ, Orth, C, Puskas, D, Clark, R, Jones, J, Egol, KA, Paksima, N, France, M, Wai, EK, Johnson, G, Wilkinson, R, Gruszczynski, AT & Vexler, L 2016, 'Character, Incidence, and Predictors of Knee Pain and Activity after Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture', Journal of Orthopaedic Trauma, vol. 30, no. 3, pp. 135-141. https://doi.org/10.1097/BOT.0000000000000475
Obremskey, William ; Agel, Julie ; Archer, Kristin ; To, Philip ; Tornetta, Paul ; Bhandari, Mohit ; Guyatt, Gordon ; Sanders, David W. ; Schemitsch, Emil H. ; Swiontkowski, Marc ; 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. / Character, Incidence, and Predictors of Knee Pain and Activity after Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture. In: Journal of Orthopaedic Trauma. 2016 ; Vol. 30, No. 3. pp. 135-141.
@article{6abf65c011f94a84a4e81c747e11f6b2,
title = "Character, Incidence, and Predictors of Knee Pain and Activity after Infrapatellar Intramedullary Nailing of an Isolated Tibia Fracture",
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.",
keywords = "functional outcome, intramedullary nail, knee pain, tibia fracture",
author = "William Obremskey and Julie Agel and Kristin Archer and Philip To and Paul Tornetta and Mohit Bhandari and Gordon Guyatt and Sanders, {David W.} and Schemitsch, {Emil H.} and Marc Swiontkowski and Stephen Walter and Sheila Sprague and Diane Heels-Ansdell and Lisa Buckingham and Pamela Leece and Helena Viveiros and Tashay Mignott and Natalie Ansell and Natalie Sidorkewicz and Claire Bombardier and Berlin, {Jesse A.} and Michael Bosse and Bruce Browner and Brenda Gillespie and Alan Jones and Peter O'Brien and Rudolf Poolman and Macleod, {Mark D.} and Timothy Carey and Kellie Leitch and Stuart Bailey and Kevin Gurr and Ken Konito and Charlene Bartha and Isolina Low and MacBean, {Leila V.} and Mala Ramu and Susan Reiber and Ruth Strapp and Christina Tieszer and Kreder, {Hans J.} and Stephen, {David J G} and Axelrod, {Terry S.} and Yee, {Albert J M} and Richards, {Robin R.} and Joel Finkelstein and Wade Gofton and John Murnaghan and Joseph Schatztker and Michael Ford and Beverly Bulmer and Lisa Conlan and Laflamme, {G. Yves} and Gregory Berry and Pierre Beaumont and Pierre Ranger and Laflamme, {Georges Henri} and Sylvain Gagnon and Michel Malo and Julio Fernandes and Poirier, {Marie France} and McKee, {Michael D.} and Waddell, {James P.} and Bogoch, {Earl R.} and Daniels, {Timothy R.} and McBroom, {Robert R.} and Vicente, {Milena R.} and Wendy Storey and Wild, {Lisa M.} and Robert McCormack and Bertrand Perey and Goetz, {Thomas J.} and Graham Pate and Penner, {Murray J.} and Kostas Panagiotopoulos and Shafique Pirani and Dommisse, {Ian G.} and Loomer, {Richard L.} and Trevor Stone and Karyn Moon and Mauri Zomar and Webb, {Lawrence X.} and Teasdall, {Robert D.} and Birkedal, {John Peter} and Martin, {David Franklin} and Ruch, {David S.} and Kilgus, {Douglas J.} and Pollock, {David C.} and Harris, {Mitchel Brion} and Wiesler, {Ethan Ron} and Ward, {William G.} and Shilt, {Jeffrey Scott} and Koman, {Andrew L.} and Poehling, {Gary G.} and Brenda Kulp and Creevy, {William R.} and Stein, {Andrew B.} and Bono, {Christopher T.} and Einhorn, {Thomas A.} and Brown, {T. Desmond} and Donna Pacicca and Sledge, {John B.} and Foster, {Timothy E.} and Ilva Voloshin and Jill Bolton and Hope Carlisle and Lisa Shaughnessy and Obremskey, {William T.} and LeCroy, {C. Michael} and Meinberg, {Eric G.} and Messer, {Terry M.} and Craig, {William L.} and Dirschl, {Douglas R.} and Robert Caudle and Tim Harris and Kurt Elhert and William Hage and Robert Jones and Luis Piedrahita and Schricker, {Paul O.} and Robin Driver and Jean Godwin and Kregor, {Philip James} and Gregory Tennent and Truchan, {Lisa M.} and Marcus Sciadini and Shuler, {Franklin D.} and Driver, {Robin E.} and Nading, {Mary Alice} and Jacky Neiderstadt and Vap, {Alexander R.} and Vallier, {Heather A.} and Patterson, {Brendan M.} and Wilber, {John H.} and Wilber, {Roger G.} and Sontich, {John K.} and Moore, {Timothy Alan} and Drew Brady and Cooperman, {Daniel R.} and Davis, {John A.} and Cureton, {Beth Ann} and Scott Mandel and Orr, {R. Douglas} and Sadler, {John T S} and Tousief Hussain and Krishan Rajaratnam and Bradley Petrisor and Brian Drew and Bednar, {Drew A.} and Kwok, {Desmond C H} and Shirley Pettit and Jill Hancock and Cole, {Peter A.} and Smith, {Joel J.} and Brown, {Gregory A.} and Lange, {Thomas A.} and Stark, {John G.} and Levy, {Bruce A.} and Swiontkowski, {Marc F.} and Garaghty, {Mary J.} and Salzman, {Joshua G.} and Schutte, {Carol A.} and Linda Tastad and Sandy Vang and David Seligson and Roberts, {Craig S.} and Malkani, {Arthur L.} and Laura Sanders and Carmen Dyer and Jessica Heinsen and Langan Smith and Sudhakar Madanagopal and Linda Frantz-Bush and Coupe, {Kevin J.} and Tucker, {Jeffrey J.} and Criswell, {Allen R.} and Rosemary Buckle and Rechter, {Alan Jeffrey} and Sheth, {Dhiren Shaskikant} and Brad Urquart and Thea Trotscher and Anders, {Mark J.} and Kowalski, {Joseph M.} and Fineberg, {Marc S.} and Bone, {Lawrence B.} and Phillips, {Matthew J.} and Bernard Rohrbacher and Philip Stegemann and Mihalko, {William M.} and Cathy Buyea and Augustine, {Stephen J.} and Jackson, {William Thomas} and Gregory Solis and Ero, {Sunday U.} and Segina, {Daniel N.} and Berrey, {Hudson B.} and Agnew, {Samuel G.} and Michael Fitzpatrick and Campbell, {Lakina C.} and Lynn Derting and June McAdams and Goslings, {J. Carel} and Ponsen, {Kees Jan} and Jan Luitse and Peter Kloen and Pieter Joosse and Jasper Winkelhagen and Rapha{\"e}l Duivenvoorden and Teague, {David C.} and Joseph Davey and Sullivan, {J. Andy} and Ertl, {William J J} and Puckett, {Timothy A.} and Pasque, {Charles B.} and Tompkins, {John F.} and Gruel, {Curtis R.} and Paul Kammerlocher and Lehman, {Thomas P.} and Puffinbarger, {William R.} and Carl, {Kathy L.} and Weber, {Donald W.} and Jomha, {Nadr M.} and Goplen, {Gordon R.} and Edward Masson and Beaupre, {Lauren A.} and Greaves, {Karen E.} and Schaump, {Lori N.} and Jeray, {Kyle J.} and Goetz, {David R.} and Westberry, {David E.} and Broderick, {J. Scott} and Moon, {Bryan S.} and Tanner, {Stephanie L.} and Powell, {James N.} and Buckley, {Richard E.} and Leslie Elves and Stephen Connolly and Abraham, {Edward P.} and Trudy Steele and Thomas Ellis and Alex Herzberg and Brown, {George A.} and Crawford, {Dennis E.} and Robert Hart and James Hayden and Orfaly, {Robert M.} and Theodore Vigland and Maharani Vivekaraj and Bundy, {Gina L.} and Theodore Miclau and Amir Matityahu and Coughlin, {R. Richard} and Utku Kandemir and McClellan, {R. Trigg} and Lin, {Cindy Hsin Hua} and David Karges and Kathryn Cramer and Watson, {J. Tracy} and Berton Moed and Barbara Scott and Beck, {Dennis J.} and Carolyn Orth and David Puskas and Russell Clark and Jennifer Jones and Egol, {Kenneth A.} and Nader Paksima and Monet France and Wai, {Eugene K.} and Garth Johnson and Ross Wilkinson and Gruszczynski, {Adam T.} and Liisa Vexler",
year = "2016",
month = "3",
day = "1",
doi = "10.1097/BOT.0000000000000475",
language = "English (US)",
volume = "30",
pages = "135--141",
journal = "Journal of Orthopaedic Trauma",
issn = "0890-5339",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

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 - Swiontkowski, Marc

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

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

VL - 30

SP - 135

EP - 141

JO - Journal of Orthopaedic Trauma

JF - Journal of Orthopaedic Trauma

SN - 0890-5339

IS - 3

ER -