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Scientific Articles:
Jarmo A.K. Toivanen, Olli Väistö, Pekka Kannus, Kyösti Latvala, Seppo E. Honkonen, and Markku J. Järvinen
Anterior Knee Pain After Intramedullary Nailing of Fractures of the Tibial Shaft : A Prospective, Randomized Study Comparing Two Different Nail-Insertion Techniques
J Bone Joint Surg Am 2002; 84: 580-585 [Abstract] [Full text] [PDF]
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[Read Letter to the Editor] Other factors influencing results
KAAN ERLER   (25 April 2002)

Other factors influencing results 25 April 2002
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KAAN ERLER,
orthopaedýcs
GATA

Send letter to journal:
Re: Other factors influencing results

ke01-k{at}tr.net KAAN ERLER

I would like to congratulate you for this research. I would add that other important factors that influence healing in addition to the entry point of the nail include the type of fracture (open or closed) and the type of energy that caused the injury. If the results had been analyzed according to these variables, the results reported by the authors might have been different. The elapsed time for fracture healing and the rehabilitation program would have been quite different in each group and this would affect the weight bearing and tendon healing time. So far we have treated more than 200 closed and/or open tibial fractures by means of intramedullary nail. Our primary concern is not the anterior knee pain but the elapsed time for fracture healing.

Kaan Erler MD
Assoc Prof
Gulhane Mil Med Acad
Department of Orthopaedics