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Journals / Gülhane Tıp Dergisi / 2003 / Cilt: 45 - Sayı: 4

The comparison of the clinical results of locked intramedullary nailing and open reduction internal greatron in tibial shaft fractures

Tibia cisim kırıklarında plak-vida ile osteosentez ve kilitli intramedüller çivileme ile yapılan tedavi sonuçlarının karşılaştırılması

Kubilay KARALEZLİ
TİMUR YILDIRIM
Yaman KARAKOÇ
Vedat ŞAHİN
Ruşen DEMİR
Serkan İLTAR
Pages
343–349
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

As a conclusion we think that ORIF is a good alternative in tibial shaft fractures in condition that intramedullary nailing cannot be used because of technical and other problems.

📌 3 Key Takeaways

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Objective & Hypothesis:Purpose : We reported comparison of the clinical results of locked intamedullary nailing and ORIF in tibial shaft fractures.
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Key Findings & Data:Matherial and Methods : We evaluated 47 tibia shaft fractures in 45 patients that were treated with ORIF and locked intamedullary nailing retrospectively. 17 of 25 patients that were treated with ORIF were women (68%) and 8 were men (32%) and the avarageage were 35.5years (17-67). 5 of 20patients that treated with locked intramedullary nailing were women(25%) and 15 were men (75%) and the avarage age were 48.7 years (19-85).
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Conclusion & Impact:As a conclusion we think that ORIF is a good alternative in tibial shaft fractures in condition that intramedullary nailing cannot be used because of technical and other problems.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Ortopedik işlemler · Tibia kırıkları · Kırık tespiti

Abstract

Purpose : We reported comparison of the clinical results of locked intamedullary nailing and ORIF in tibial shaft fractures. Matherial and Methods : We evaluated 47 tibia shaft fractures in 45 patients that were treated with ORIF and locked intamedullary nailing retrospectively. 17 of 25 patients that were treated with ORIF were women (68%) and 8 were men (32%) and the avarageage were 35.5years (17-67). 5 of 20patients that treated with locked intramedullary nailing were women(25%) and 15 were men (75%) and the avarage age were 48.7 years (19-85). The avarage follow up was 40 months (40-91). We compared union time, functional results and complications. Results : In the ORIF group there were 96% union, 4% nonunion, 8% joint stiffness and 8% infection. We evaluated 81% perfect and good results in this group. Avarage union time was 15.9 weeks in this group. In the locked intramedullary group there were 100% union, 4% superficial infection. We evaluated 95% perfect and good results in this group. The avarage union time was 13.8 weeks. Conclusion : Although locked intramedullary nailing technique has been used frequently for the treatment of tibial shaft fractures recently, we found that the clinical results of the patients treated with ORIF and intramedullary nailing are similar. As a conclusion we think that ORIF is a good alternative in tibial shaft fractures in condition that intramedullary nailing cannot be used because of technical and other problems.

Özet

Amaç: Tibia cisim kırığı nedeniyle, kilitli intramedüller çivi ve plak-vida ile internal fiksasyon yapılan hastaların klinik sonuçlarının karşılaştırılması amaçlanmıştır. Çalışma Planı: Tibia cisim kırığı nedeni plakvida ile osteosentez yapılan ve kilitli intramedüller çivi uygulanan 45 hastanın 47 tibia cisim kırığı retrospektif olarak incelendi. Plakvida ile osteosentez uygulanan 25 hastanın 17'si (%68) kadın, 8'i (%32) erkek olup yaş ortalaması 35.5 (yaş dağılımı 17-67) idi. Kilitli intramedüller çivi uygulanan 20 hastanın, 15'i (%75) erkek, 5'i (%25) kadın olup yaş ortalaması 48.7 (19-85) idi. Ortalama takip süresi 40 (4-91) ay olan çalışmamızda tibia cisim kırıkları kaynama süresi, fonksi-yonel sonuç ve ameliyat sonrası görülen komplikasyonlar açısından karşılaştırıldı. Bulgular: Plak-vida grubunda; %96 oranında kaynama, %4 oranında kaynamama, %8 oranında eklem sertliği, %8 oranında enfeksiyon görüldü. %81 oranında mükemmel ve iyi sonuç elde edildi. Bu grupta, ortalama kaynama süresi 15.9 hafta olmuştur. Kilitli intramedüller çivi uygulanan grupta ise; %100 kaynama, %4 yüzeyel enfeksiyon, %95 mükemmel ve iyi sonuç elde edilirken, ortalama kaynama süresi 13.8 hafta olmuştur. Çıkarımlar: Günümüzde instabil tibia cisim kırıkları tedavisinde kilitli intramedüller çiviler sık kullanılır olsa da, çalışmamızda plakvida uygulanan hastaların kaynama süresi, fonksiyonel sonuç ve komplikasyonlar açısından intramedüller çivi grubundan farklı olmadığını bulduk. Kilitli intramedüller çivi uygu-laması için teknik imkanları yetersiz olan klinikler için plakvida ile osteosentezin tedavi alternatifi olarak düşünülmesi gerektiği kanaatindeyiz.

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Cite This Article

KARALEZLİ, K., YILDIRIM, T., KARAKOÇ, Y., ŞAHİN, V., DEMİR, R., İLTAR, S. (2003). The comparison of the clinical results of locked intramedullary nailing and open reduction internal greatron in tibial shaft fractures. Gülhane Tıp Dergisi, Cilt: 45 - Sayı: 4, 343–349. https://ajindex.com/articles/225723

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References (14)

  1. Ege, R.: Tibia ve Fibula Cisim Kırıkları: Travmatoloji (Kırıklar Eklem Yaralanmaları)
  2. Baskı, 3. Cilt, Bölüm: 44, Sayfa: 2774-2882. Ankara, Kadıoğlu Matbaası, 1989
  3. Russell, T.A., Taylor, J.C., LaVelle, D.G.: Fractures of the Tibia and Fibula. In: Rockwood CA, Green DP, Bucholz RW, editors. Rockwood and Green's Fractures in Adults. 3rd. ed. Philadelphia, J.B. Lippincott Co.; 1991; p. 1925- 1982
  4. Gustilo, R.B., Gruninger, R.P., Davis, T.: Classification of Type III (severe) Open Fractures Relative to Treatment and Results. Orthopedics 1987;10: 1781-1788
  5. Johner, R., Wruhs, O.: Classification of the Tibial Shaft Fractures and Correlation with Results After Rigid Internal Fixation. Clin Orthop 1983;178:7-25
  6. Chapman, M.W.: Fractures of the Tibial and Fibular Shafts. In:. Evarts CM, editor. In Surgery of the Musculoskletal system. Vol.: 4. 2nd Edition, New York, Churchill Livingstone Inc.; 1990; Page: 3741-3799
  7. Den Outher, A.J., Meevuis, J.D., Hermans, J.: Conservative Versus Operative Treatment of Displaced Noncomminuted Tibial Shaft Fractures. A Retrospective Comperative Study. Clin Orthop1990; 252: 231-237
  8. Trafton, P.G.: Tibial Shaft Fractures. In: Staff WB (ed). Skelatal Trauma. Volume: 2, Chapter: 51, Philadelphia: W.B. Saunders Co.; 1992; Page: 1771-1870
  9. Whitte, A.P.: Fractures of Lower Extremity, Tibia Shaft Fractures. In: Canale ST (ed.), Champbell's Operative Orthopaedics. Volume: III, 9th Edition, Chapter: 47, St. Lois, Moesby, 1998; Page: 2067-2094
  10. Collinge, C., Sanders, R., Dipasquale, T.: Treatment of Complex Tibial Periarticuler Fractures Using Percutaneous Techniques. Clin Orthop 2000; 375: 69-77
  11. Court-Brown, C.M., Mc Burnie, J.: The Epidemiology of Tibial Fractures. J. Bone Joint Surg 1995; 77B: 417-421
  12. Ekeland, A., Thoresen, B.O., Alho, A., Strömsöe, K., Folleras, G., Haukeba, A.: Interlocking Intramedullary Nailing in the Treatment of Fractures. A report of 45 cases. Clin Orthop 1988; 231: 205-215
  13. Johner, R., Staubli, U.R., Gunst, M., Curdey, J.: The Point of View of the Clinication. A Retrospective Study of Mechanizm of Accidents and the Morphology of Tibial and Fibular Shaft Fractures. İnjury 2000; 31(Sup 3): 45-49. 349 13. Shaw, D.A., Gustilo, T., Court-Brown, M.C.: Epidemiology and Outcome of Tibial Diaphyseal Fractures in Footballers. Injury 1997; 28(5-6): 365-367
  14. Batten, R.L., Donaldson, L.J., Aldridge, M.J.: Experience with the AO Method in the Treatment of 142 Cases of Fresh Frac