الفهرس 
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Abstract
Anterior knee pain (AKP) is a common complication after intramedullary nailing of tibia. The exact etiology of AKP is unknown, and the average incidence ranged between 17-57%. Protrusion of the nail is one of the causes of AKP after nailing tibia.
Two hundred and nine (209) patients were included in the study. They were admitted to El Hadara University Hospital Alexandria, Egypt suffering from tibial shaft fracture and treated with intramedullary nailing of the tibia.
All patients were assessed after at least 6 months of follow-up by taking history, clinical examination, assessment of healing and radiological assessment. There were 149 (71.3%) males, and 60 (28.7%) females.
According to the visual analogue scale (VAS), patients were divided into 136 patients (65%) without anterior knee pain and 73 patients (35%) with anterior knee pain. The group with AKP was farther divided into 17 patients (23%) with protruding nails and 56 patients (77%) without protruding nails. The mean age of patients was 30.81±8.61 years in those without pain and 37.96±10.30 years in patients with AKP. 42 patients (57.5%) had moderate pain and 29 patients (39.7%) had mild pain, and only 2 patients (2.7%) had severe pain.
There was a statistically significant relation between age, protrusion of nail, but there was no statistically significant relation between sex, side affected, time lapsed after surgery, occupation and the occurrence of pain.