A Comparıson of the Treatment Results of Open Reduction Internal Fixation and Intramedllary Nailing in Adult Forearm Diaphyseal Fractures

Köse, Ahmet; Aydın, Ali; Ezirmik, Naci; Yıldırım, Ömer Selim

doi:10.5505/tjtes.2016.66267

Cited by 10 publications

(20 citation statements)

References 28 publications

(46 reference statements)

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“…Union was obtained in all patients in the plate group and one nonunion occurred in the IMN group (97%), while the functional outcomes did not significantly differ between the two groups. Köse et al [19] treated 42 forearm fractures using plates and 48 fractures with locked IMNs: mean operation time was 63.29 minutes (range, 40-100) in the plate group and 46.02 minutes (range, 17-85) in the IMN group, while the mean union time was 13.1 weeks (range, 10-20 weeks) and 10.8 weeks (range, 8-20 weeks), respectively. No statistically significant difference was determined in the Grace-Eversmann evaluation criteria, forearm supination, pronation degrees, and grip strength.…”

Section: Discussionmentioning

confidence: 99%

Treatment of adult isolated ulnar diaphyseal fractures: A comparison of new-generation locked intramedullary nail and plate fixation

Kibar

Kurtulmuş

2019

Eklem Hastalik Cerrahisi

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Objectives: This study aims to compare the radiological and functional results of adult patients with isolated ulnar diaphyseal fractures treated with plate and new-generation locked intramedullary nail (IMN). Patients and methods: The study included 57 patients (38 males, 19 females; mean age 39.1 years; range, 18 to 77 years) with isolated ulnar diaphyseal fractures treated with IMN or plate fixation between January 2008 and December 2017. Thirty patients (Plate group) were treated with plate fixation and 27 patients (IMN group) with IMN. Functional results were evaluated according to the Grace-Eversmann evaluation system and the disabilities of the arm, shoulder and hand (DASH) questionnaire. Results: The mean union time was 12.8±1.2 weeks in the IMN group and 13.7±1.4 weeks in the plate group (p= 0.092). The mean operation time was significantly shorter in the IMN group (30 minutes) than in the plate group (46 minutes; p<0.001). The mean DASH score was 7.0±4.5 in the IMN group and 7.7±8.6 in the plate group (p= 0.766). Conclusion: With similar union rates, functional results, and shorter operation times, locked IMNs are a suitable alternative to plate osteosynthesis in adult isolated ulnar diaphyseal fractures.

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Section: Discussionmentioning

confidence: 99%

Treatment of adult isolated ulnar diaphyseal fractures: A comparison of new-generation locked intramedullary nail and plate fixation

Kibar

Kurtulmuş

2019

Eklem Hastalik Cerrahisi

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“…Historically, intramedullary methods have been applied. However, the main reason for the progressive disuse of this modality was a high rate of nonunion [ 14 ]. The first-generation nail, introduced in 1913, and the second-generation, introduced by Sage in 1959 [ 15 ], did not achieve sufficient rotational stability, due to the lack of locking or compression features [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…The first-generation nail, introduced in 1913, and the second-generation, introduced by Sage in 1959 [ 15 ], did not achieve sufficient rotational stability, due to the lack of locking or compression features [ 16 ]. Open reduction and internal fixation has the advantage of axial and rotational rigidity, stable fixation, and anatomical reduction; however, disruption of the fracture haematoma may have negative effects on the union, and excessive soft tissue and/or periosteal stripping could further compound this problem [ 14 ]. The latest generation of these nails, such as the one used in this study, were designed in the context of extensive anatomic and biomechanical analysis testing to minimize the risk of malrotation and instability [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

“…Open reduction and internal fixation has the advantage of axial and rotational rigidity, stable fixation, and anatomical reduction; however, disruption of the fracture haematoma may have negative effects on the union, and excessive soft tissue and/or periosteal stripping could further compound this problem [ 14 ]. The latest generation of these nails, such as the one used in this study, were designed in the context of extensive anatomic and biomechanical analysis testing to minimize the risk of malrotation and instability [ 14 ]. Intramedullary nailing potentially allows less micromotion of the fractures and distributes the forces more uniformly across the fracture gap, compared with the ORIF technique [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

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Locked Intramedullary Nailing versus Compression Plating for Stable Ulna Fractures: A Comparative Study

Pavone

Ganci

Papotto

et al. 2021

JFMK

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Background: Isolated ulna shaft fractures (USFs) are a relatively uncommon, but significant, injury. For unstable USF treatment, open reduction and internal fixation (ORIF) is the gold standard, while for stable USFs several procedures were described. The aim of this study is to compare the outcomes in patients with stable USFs treated by either ORIF or intramedullary nail (IMN). Methods: According to their surgical treatment, 23 eligible USF-affected patients were divided into ORIF (14 subjects) and IMN (nine subjects) groups. The subjects underwent postoperative clinical follow-up at 1, 3, 6, and 12 months, which included calculation of the Disabilities of the Arm, Shoulder and Hand (DASH) score and radiological follow-up. Time to union, time to return to sporting and occupational activities, duration of physical therapy, and surgical complications were recorded. Results: DASH scores improved in both groups at the 6-month follow-up (p < 0.001). The IMN cohort recorded better DASH scores at the 1- and 3-month follow-ups, while similar results were reported at the 6- and 12-month follow-ups. Earlier fracture union (p = 0.001) and return to sporting activities and work (p = 0.002) were seen in the IMN group, compared with the ORIF group. No complications were observed in the IMN group. Conclusions: The surgical treatment of isolated USF results in excellent functional and radiographic outcomes. IMN may be preferable, compared with ORIF, due to its faster recovery time, expedited union, and reduced likelihood of complications.

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“…К наиболее часто встречающимся осложнениям интрамедуллярного остеосинтеза при переломах костей предплечья можно отнести несращения, поверхностную и глубокую инфекцию, ятрогенные повреждения сосудов и нервов, синостоз лучевой и локтевой костей [28,30]. Частота несращений после интрамедуллярной фиксации составляет от 0% до 12,5% [29,38,39]. Удовлетворительные функциональные результаты при интрамедуллярной фиксации достигают 96% при применении блокирующих стержней [38].…”

Section: по данным Hunclassified

Methods of Treatment of Diaphyseal Forearm Fractures

Chernyaev¹,

Neverov²

2020

СПНО (MPSE)

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The analysis of modern domestic and foreign literature on the issues of surgical treatment of patients with diaphyseal forearm fractures is presented in the article, the main problems at these injuries are noted. The analysis has been carried out on the basis of databases of medical publications of CyberLeninka, eLibrary, PubMed and biliary databases. It has been established that the operative method of treatment is given preference at treatment of diaphyseal forearm fractures. Patients treated with a conservative method have satisfactory results only in 29-59%. According to the literature data, in the application of intramedullary fixation fusion is achieved in 91% of cases on average, and satisfactory functional results are observed in 84%. In the case of plate fixation 95.8% and 87.9% respectively. At the same time, the frequency of infectious complications in plate osteosynthesis ranges from 0.8 to 5.5%. Such a high frequency of unsatisfactory results in the most common submersible osteosynthesis types provides a basis for analyzing the causes of failures to eliminate them. Blocking intramedullary osteosynthesis, according to few literature data, leads to an average fusion of 98.8%, while excellent and good functional results are observed in 88.5%. Currently, the methods of treatment of patients with diaphyseal forearm fractures are being developed; the design of structures is being improved taking into account the peculiarities of these fractures. However, the problem of choosing the optimal tactics and methods of surgical fixation of these lesions remains a subject for discussion, which is the basis for scientific research on optimization of tactics and methods of surgical treatment of patients with diaphyseal forearm fractures and their consequences.

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A Comparıson of the Treatment Results of Open Reduction Internal Fixation and Intramedllary Nailing in Adult Forearm Diaphyseal Fractures

Abstract: BACKGROUND:We compared the union and functional results of intramedullary nailing and open reduction internal fixation treatment applied to adults with a forearm diaphysis fracture (fracture of the radius and/or ulna).

Cited by 10 publications

References 28 publications

Treatment of adult isolated ulnar diaphyseal fractures: A comparison of new-generation locked intramedullary nail and plate fixation

Treatment of adult isolated ulnar diaphyseal fractures: A comparison of new-generation locked intramedullary nail and plate fixation

Locked Intramedullary Nailing versus Compression Plating for Stable Ulna Fractures: A Comparative Study

Methods of Treatment of Diaphyseal Forearm Fractures

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