Objective:To investigate the effect of transpatellar lateral intramedullary nail treatment on postoperative functional recovery of tibial shaft fracture.Methods:A total of 78 patients with tibial shaft fracture who underwent surgical treatment from January 2019 to September 2021 were selected and divided into the translateral parapatellar approach group,transsuprapatellar approach group and transinfrapatellar approach group according to the treatment approach of intramedullary nail-fixation,with 34 cases,22 cases and 22 cases respectively.The indexes related to surgery,postoperative recovery and Lysholm knee scale score of the three groups were compared.Results:The operative time of the transparatellatellar lateral approach group was shorter than that of the suprapatellar approach group and the suprapatellar approach group,the Lysholm knee scale score was higher than that of the suprapatellar approach group and the suprapatellar approach group,and the Lysholm knee scale score of the suprapatellar approach group was higher than that of the subpatellar approach group(P<0.05).The intraoperative blood loss in the translateral parapatellar approach group and the transinfrapatellar approach group was less than that in the suprapatellar approach group(P<0.05),and the intraoperative fluoroscopy times and hospital stay in the translateral parapatellar approach group and the transapatellar approach group were less than that in the suprapatellar approach group(P<0.05).The incidence of anterior knee pain in the transparatellar lateral approach group was lower than that in the other two groups(P<0.05).Conclusion:Compared with the suprapatellar and inferior approaches,the treatment effect of the lateral parapatellar intramedullary nail is better,which can significantly shorten the operation time of patients,reduce the number of intraoperative X-ray irradiation,accelerate the recovery of joint function.
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