Dr Arooj Zahra, Dr Ayesha Zafar Ghuman, Dr Rubab Kiran Butt
Background: Tibial medullary nails endure mainly inoculated via trans patellar tendon process before medial parapatellar Tandon tactic in crack tube of tibial. Lonely of maximum identified problematic of tibia nailing remnants anterior knee distress. Objective: Unbiassed of the existing research associate regular knee distress amongst Medicinal Parapatellar Tendon technique also Trans Patelar Tandon technique in Tibia medulary nailing proposed for tibia tube blow. Methodology: Our current research was conducted Mayo Hospital Lahore from October 2017 to September 2018. Altogether 72 cases of locked or else kind 1 exposed cracks of tibia tube, in 22-60 years of age, of moreover sex remained encompassed. Cases remained positioned arbitrarily into 2 sets. In sets A cases, tibial medullary nailing remained completed through Medicinal Parapatellar Tendon method whereas in set B, TMN remained completed through TPT. Checkup remained steady post-operatively also concluding knee agony remained restrained at conclusion of 3rd week. Information remained examined via practicing SPSS version 23. Results: Regular age of cases in set A endured 41±13 years similarly in set B endured 40±12 years. Obtainable of these, 72 cases, 50 (75.5%) remained man also 22 (25.5%) remained females through proportion of 6:4. Average knee discomfort in Set A (MPT method) remained 6.45 ± 3.54 whereas in Set B method) remained 8.32 ± 3.54 (p-value = 0.002). Conclusion: Regular knee uneasiness endured fewer subsequently Medicinal Parapatelar Tandon technique as linked to process in Tibia Medulary Nailing for handling of Tibia tube blow. Keywords: Knee aching, Trans patellar, Tibia, Cracks, Medical parapatellar.