Intramedullary Nailing Of Adult Isolated Diaphyseal Radius Fractures

Köse, Ahmet; Aydın, Ali; Ezirmik, Naci; Topal, Murat; Can, Cahit Emre; Yilar, Sinan

doi:10.5505/tjtes.2015.87036

Cited by 7 publications

(7 citation statements)

References 24 publications

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“…[12,16,17,28] Good functional results have been reported similar to those of plate osteosynthesis. In the IM group of the current study, 100% union was obtained at a mean of 10.85 (range, [8][9][10][11][12][13][14][15][16][17][18][19][20] weeks. The amount of bleeding in the IM group was 37.91 (range, 10-100) ml.…”

Section: Discussionsupporting

confidence: 61%

“…In radius nails with proximal locking, the risk can be reduced to a minimum with locking made in a neutral position with the screw 3 cm distal to the radius head. [17] Iatrogenic fracture may be caused by the use of a nail with a larger than normal diameter and rotational instability by the use of a small nail. In the area of nail application in the radius, the EPL and superficial branch of the radial nerve are at risk.…”

Section: Discussionmentioning

confidence: 99%

“…The possibility of stronger rotational stability is provided with the anatomic design of third generation nails and the locking and compression effects. [16][17][18][19] The basic aim of surgical treatment of forearm diaphyseal fractures is to provide stable axial and rotational fixation. To achieve excellent rotational results, the acceptable axial angulation must be <10°.…”

Section: Discussionmentioning

confidence: 99%

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

Köse

Aydın²,

Ezirmik³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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

Köse

Aydın²,

Ezirmik³

et al. 2016

Ulus Travma Acil Cerrahi Derg

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“…As per literature union rates in intramedullary nailing group is 90%-100% and union time is between 10 weeks to 32 weeks have been reported. [21][22][23][24] In our study intramedullary group, 93.33% union was achieved at a mean of 28.89 weeks. A statistically significant difference was determined between groups with respect to union rates, time to union.…”

Section: Discussionmentioning

confidence: 99%

Diaphyseal fractures of the forearm in adults, comparative study of dynamic compression plate versus intramedullary nail

et al. 2019

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Background: Forearm fractures are common nowadays because of road traffic accident. It is important to achieve anatomical reduction of both bone forearm fractures to regain function of upper limb. This study is undertaken to observe functional and radiological outcome using two different surgical modalities like dynamic compression plating (DCP), and intramedullary nailing in both bone forearm fractures and also to indivualize the optimal treatment method for different fracture pattern.Methods: Our study included 60 patients with diaphyseal forearm fractures in adults presenting to orthopaedic outpatient department. Among 60 patients, 30 patients underwent open reduction and internal fixation by dynamic compression plate and other 30 patients underwent closed reduction/open reduction by square nail after detailed pre-operative evaluation.Results: In our study average union time in DCP group is 23.39 weeks and square nail group is 28.89 weeks. Union in DCP group was 27 (90%) and square nail group 22 (73.33%). Delayed union in DCP group was 03 (10%) and in Square nail group was 6 (20%), non-union in DCP group was 0 (nil) and in square nail group was 2 (06%).Conclusions: Open reduction and internal fixation with DCP plates for both bone diaphyseal forearm fractures gives good results with early union rates. We also found that in open fractures and complex fracture like segmental fractures square nailing was better option compared to dynamic compression plate to reduce infection rates, retain periosteal blood supply from soft tissue. Thus we conclude that both implants are equally important and we should prioritize based on preoperative planning.

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“…1 The fractures often require reduction and internal fixation. 2 25% of fixations result in complications including compartment syndrome, regional pain syndrome, nerve and tendon injury, and nonunion injuries. 3 Very rarely, however, are the complications the result of early hardware failure.…”

Section: Introductionmentioning

confidence: 99%

Re-fracture of Distal Radius and Hardware Repair in the Setting of Trauma

Lucke‐Wold

Bonasso

Jacob

2016

Medical Student Research Journal

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Distal radius fractures are one of the most common fractures in the elderly. Falls and motor vehicle collisions lead to increased risk for this type of fracture. A seventy-three year-old female had a previous history of distal radius fracture with repair by open reduction and internal fixation. She was involved in a motor vehicle collision that re-fractured the distal radius. The plate was bent and required removal, which is a very rare but potentially serious complication. Surgery was done to fix the open reduction and internal fixation with volar locking plates while removing damaged hardware. Only a select few cases have reported hardware failure as a cause of complications. Among those cases, high-energy activities and maintained stress on the hardware were likely causes. Distal radius fractures are the most common upper extremity fracture in the elderly. We highlight a unique case of re-fracture in the setting of trauma with prior hardware failure and describe the strategy for hardware repair.

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Intramedullary Nailing Of Adult Isolated Diaphyseal Radius Fractures

Abstract: BACKGROUND:The aim of the present study was to evaluate functional and cosmetic outcomes of adult patients who underwent intramedullary nailing with newly designed intramedullary radius nails for isolated radius diaphyseal fractures.

Cited by 7 publications

References 24 publications

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

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

Diaphyseal fractures of the forearm in adults, comparative study of dynamic compression plate versus intramedullary nail

Re-fracture of Distal Radius and Hardware Repair in the Setting of Trauma

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