Journals / Annals of Medical Research / 2020 / Cilt: 27 - Sayı: 6

Multi–functional intramedullary self-locking ulna nailing system: Proximal oblique locking without the need of fluoroscopic guidance, and it’s effects on olecranon joint surface

Pages
1657–1662
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

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

The relationship between the oblique self-locking screw, which has made a crucial contributionto the nailing system, and the joint surface of olecranon was investigated because this screw does not necessitate the use offluoroscopic guidance and is easy to apply.Results: In our study, during anterior or medial or posterior oblique locking, no olecranon joint surface damage occurred on any bonewith a locking rate of 100%.Conclusion: The clinical trials demonstrated that the proximal oblique locking was achieved easily in a short period of time, indicatingthe device’s immense value for the patient and the surgeon.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Due to the necessity of using the small diameter nails in the ulna, negative outcomes such as failure in the self-locking, longterm exposure to radiation, and increased operation time are expected.
📊
Key Findings & Data:Several clinical trials propose that an ideal nail system forunlar fixation challenge has not been developed yet.Material and Methods: This study involved the use of a new multifunctional intramedullary self-locking ulna nailing system and 36intact dry cadaveric ulna bones.
💡
Conclusion & Impact:The relationship between the oblique self-locking screw, which has made a crucial contributionto the nailing system, and the joint surface of olecranon was investigated because this screw does not necessitate the use offluoroscopic guidance and is easy to apply.Results: In our study, during anterior or medial or posterior oblique locking, no olecranon joint surface damage occurred on any bonewith a locking rate of 100%.Conclusion: The clinical trials demonstrated that the proximal oblique locking was achieved easily in a short period of time, indicatingthe device’s immense value for the patient and the surgeon.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Aim: Due to the necessity of using the small diameter nails in the ulna, negative outcomes such as failure in the self-locking, longterm exposure to radiation, and increased operation time are expected. Several clinical trials propose that an ideal nail system forunlar fixation challenge has not been developed yet.Material and Methods: This study involved the use of a new multifunctional intramedullary self-locking ulna nailing system and 36intact dry cadaveric ulna bones. The relationship between the oblique self-locking screw, which has made a crucial contributionto the nailing system, and the joint surface of olecranon was investigated because this screw does not necessitate the use offluoroscopic guidance and is easy to apply.Results: In our study, during anterior or medial or posterior oblique locking, no olecranon joint surface damage occurred on any bonewith a locking rate of 100%.Conclusion: The clinical trials demonstrated that the proximal oblique locking was achieved easily in a short period of time, indicatingthe device’s immense value for the patient and the surgeon.

🔖

Cite This Article

ÖZTÜRK, R., AKPINAR, F., SAĞLAM, N., AYTEKİN, M. N. (2022). Multi–functional intramedullary self-locking ulna nailing system: Proximal oblique locking without the need of fluoroscopic guidance, and it’s effects on olecranon joint surface. Annals of Medical Research, Cilt: 27 - Sayı: 6, 1657–1662. https://ajindex.com/articles/446299

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (12)

  1. Krzykawski R, Król R, Kamiński A. The results of locked intramedullary nailing for non-union of forearm bones. Ortop Traumatol Rehabil 2008;10:35-43
  2. Labbe JL, Peres O, Leclair O, et al. Isolated fracture of the unlar diaphysis, from plate osteosynthesis to intramedullary nailing. Rev Chir Orthop Reparatrice Appar Mot 1998;84:515-22. [Article in French]
  3. Mseddi MB, Manicom O, Filippini P, et al. Intramedullary pinning of diaphyseal fractures of both forearm bones in adults: 46 cases. Rev Chir Orthop Reparatrice Appar Mot 2008;94:160-7. [Article in French] 4. Visna P, Kalvach J, Valcha M, et al. Treatment of diaphyseal forearm fractures with locking intramedullary nail. Rozhl Chir 2006;85:631-36. [Article in Czech] 5. Akpinar F, Aydinlioglu A, Tosun N, et al. Morphologic evaluation of the ulna. Acta Orthop Scand 2003;74: 415-19
  4. Wang AA, Mara M, Hutchinson DT. The proximal ulna: An anatomic study with relevance to olecranon osteotomy and fracture fixation. J Shoulder Elbow Surg 2003;12:293-6
  5. Boussouga M, Bousselmam N, Lazrek K, et al. Surgical management of isolated fractures of the ulnar shaft. Acta Orthop Belg 2002;68:343-7. [Article in French] 8. Holmenschlager F, Winckler S, Brug E. Intramedullary nailing in forearm shaft fractures – an 18 year retrospective study of a patient sample. Zentralbl Chir 1997;122:1002-9. [Article in German] 9. McFarlane AG, Macdonald LT. Parameters of the unlar medullary canal for locked intramedullary nailing. J Biomed Eng 1991;13:74-6
  6. Ring D, Jupiter JB, Simpson NS. Monteggiafractures in adults. J Bone Joint Surg Am 1998;80:1733-44
  7. Weckbach A, Blattert TR, Weisser Ch. Interlocking nailing of forearm fractures. Arch Orthop Trauma Surg 2006;126:309-15
  8. Boriani S, Lefevre C, Malingue E, et al. The Lefevre ulnar nail. Chir Organi Mov 1991;76:151-5
  9. De Pedro JA, Garcia-Navarrete F, Garcia De Lucas F, et al. Internal fixation of unlar fractures by locking nail. Clin Orthop Relat Res 1992;283:81-5
  10. Hong G, Luo CF, Zhang CQ, et al. Internal fixation of diaphyseal fractures of the forearm by interlocking intramedullary nail: short-term results in eighteen patients. J OrthopTrauma 2005;19:384-91
  11. Gehr J, Friedl W. Intramedullary locking compression nail for the treatment of an olecranon fracture. Oper OrthopTraumatol 2006;18:199-213
  12. Hofmann A, Hessmann MH, Rudig L, et al. Intramedullary osteosynthesis of the ulna in revision surgery. Unfallchirurg 2004;107:583-92. [Article in German] 17