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Journals / Cerrahpaşa Medical Journal / 2020 / Cilt: 44 - Sayı: 3

A New Distal Locking Technique in Intramedullary Nailing

Kanal İçi Çivilerin Distalden Kilitlenmesinde Yeni Bir Yöntem

Tekin Kerem Ülkü
Arel Gereli
Ahmet Emre Paksoy
Mustafa Seyhan
Halil Yalçın Yüksel
Pages
137–144
Publication Date
2022-10-12
DOI
—
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AI Summary & Key Takeaways

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⚡ TL;DR(Too Long; Didn't Read)

Distal locking time (Group I: 21.5±5.8 min and group II: 19.3±4.8 min) and radiation time for distal locking (Group I: 24.4±5.8 s and group II: 20.9±5.2 s) were shortened with the described technique (p

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: This study aimed to describe a new fluoroscopy-assisted freehand distal locking technique in intramedullary nailing.Methods: The efficiency of this technique was defined by comparing the results of patients with tibial shaft fractures.
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Key Findings & Data:A total of 114 patients with closed tibial shaft fractures treated by intramedullary nailing were included in this study.
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Conclusion & Impact:Distal locking time (Group I: 21.5±5.8 min and group II: 19.3±4.8 min) and radiation time for distal locking (Group I: 24.4±5.8 s and group II: 20.9±5.2 s) were shortened with the described technique (p
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: This study aimed to describe a new fluoroscopy-assisted freehand distal locking technique in intramedullary nailing.Methods: The efficiency of this technique was defined by comparing the results of patients with tibial shaft fractures. A total of 114 patients with closed tibial shaft fractures treated by intramedullary nailing were included in this study. The patients were evaluated in 2 groups. Group I included the patients operated with the classical fluoroscopy-assisted freehand technique (n=46), whereas group II included patients operated with the fluoroscopy-assisted freehand technique that we described (n=68). In group II, the technique we described included locking with the help of a grooved awl with removable handgrips.Results: The rate of distal locking time to total operation time and the rate of radiation time for distal locking to total radiation time were compared. The total operation time and total radiation time were similar in both the groups (p>0.05). Distal locking time (Group I: 21.5±5.8 min and group II: 19.3±4.8 min) and radiation time for distal locking (Group I: 24.4±5.8 s and group II: 20.9±5.2 s) were shortened with the described technique (p

Özet

Amaç: İntramedüller çivilemede yeni, floroskopi destekli, serbest distal kilitleme tekniği tanımlanmıştır.Yöntemler: Bu tekniğin etkinliğini değerlendirmek için, tibial şaft kırığı olan hastaların sonuçları karşılaştırıldı. İntramedüller çivileme ile tedavi edilen kapalı tibial şaft kırığı olan toplam 114 hasta çalışmaya dahil edildi. Hastalar iki grupta değerlendirildi. Grup I, klasik floroskopi destekli serbest el tekniği (n=46); Grup II ise tarif ettiğimiz skopi destekli serbest el tekniği ile kullanıldı (n=68). Grup II’de tarif ettiğimiz teknik, çıkarılabilir tutma yerleri olan yivli bir bız yardımıyla kilitlenmeyi içeriyordu.Bulgular: Distal kilitleme süresinin toplam çalışma süresine oranı ile distal kilitleme süresinin toplam radyasyon süresine oranı da karşılaştırıldı. Toplam operasyon süresi ve toplam radyasyon süresi de her iki grupta benzerdi (p>0,05). Distal kilitleme süresi (Grup I: 21,5±5,8 ve Grup II: 19,3±4,8 dk) ve distal kilitleme için radyasyon süresi (Grup I: 24,4±5,8 ve Grup II: 20,9±5,2 sn) tarif edilen teknikle kısaltıldı (p

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Cite This Article

Ülkü, T. K., Gereli, A., Paksoy, A. E., Seyhan, M., Yüksel, H. Y. (2022). A New Distal Locking Technique in Intramedullary Nailing. Cerrahpaşa Medical Journal, Cilt: 44 - Sayı: 3, 137–144. https://ajindex.com/articles/473191

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