Have you guys ever come across any literature regarding postoperative knee pain following retrograde nail fixation of femur shaft fractures? I did a quick search and found just one systematic review from the Canadian Journal of Surgery basically saying there was significant evidence of increased post-op knee pain with retrograde nailing versus anterograde. The study did also find that anterograde nailing approaches yielded significantly higher levels of post-op hip pain and heterotopic ossification.
I’m just curious because I had a retrograde nail placed after fracturing my left femur back in 2007 and have since had intermittent issues (tibial platform bruising, etc) from it, especially during squat-type movements. I actually avoided all squat-type movements for years until starting to train SBD in earnest a couple of years ago. I have no issues whatsoever with my right knee.
What would your recommendation be at this point if this continues to be a training impediment for me going forward? My fitness goals at this point are very nonspecific. I simply want to increase strength as measured by SBD over time.
Thanks,
Stewart