New interlocking intramedullary radius and ulna nails for treating forearm diaphyseal fractures in adults : a retrospective study

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dc.authorid0000-0002-4495-547Xen_US
dc.authorid0000-0002-2768-1323en_US
dc.contributor.authorSaka, Gürsel
dc.contributor.authorSağlam, Necdet
dc.contributor.authorKurtulmuş, Tuhan
dc.contributor.authorAvcı, Cem Coşkun
dc.contributor.authorAkpınar, Fuat
dc.date.accessioned2021-06-23T19:37:05Z
dc.date.available2021-06-23T19:37:05Z
dc.date.issued2014
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractIntroduction: The treatment goal for diaphyseal forearm fractures in adults is to restore axial and rotational stability. The treatment of these fractures with intrmaedullary locked nailing remains sparse. We therefore evaluated IM nails for treating forearm diaphyseal fractures in adults. Methods: We retrospectively reviewed adult patients with isolated unilateral or bilateral fractures of the radius, ulna, or both, who were treated with closed or mini open reduction with a new IM nail between May 2008 and January 2012 and who were followed for a least 1 year. Patients with a Galeazzi fracture, a pathological fracture or patients with nonunion after previous surgeries were excluded. All patients were allowed full range of motion without any external support. Primary outcomes were Grace and Eversmann rating, Disabilities of the Arm, Shoulder and Hand (DASH) scores. Results: The 43 enrolled patients (mean age, 37 years; 32 men) had 59 forearm fractures: 14 isolated radius fractures, 17 isolated ulna fractures (2 bilateral), and 28 fractures of both the radius and ulna. Mean time to fracture union was 13 weeks (range 10-14 weeks) for ulnar fractures and 12 weeks (range 10-13 weeks) for radial fractures. No patient had nonunion, deep infections, or radioulnar synostosis. Followup ranged from 12 to 44 months. Grace and Eversmann ratings were excellent in 38 patients and good in 5. Mean DASH score was 6.5 points (range 0-13.3). Conclusions: Intramedullary nailing of adult forearm diaphyseal fractures appears to be a good alternative to plate osteosynthesis. The advantages are short operative time, minimal invasive techniques, and sufficient stability in all planes that allows early motion without additional fracture support. (C) 2013 Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.injury.2013.10.040
dc.identifier.endpageS23en_US
dc.identifier.issn0020-1383
dc.identifier.issn1879-0267
dc.identifier.pmid24326028en_US
dc.identifier.scopus2-s2.0-84892674059en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpageS16en_US
dc.identifier.urihttps://doi.org/10.1016/j.injury.2013.10.040
dc.identifier.urihttps://hdl.handle.net/20.500.12491/8105
dc.identifier.volume45en_US
dc.identifier.wosWOS:000329846400004en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAkpınar, Fuat
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInjury-International Journal Of The Care Of The Injureden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectRadiusen_US
dc.subjectUlnaen_US
dc.subjectForearm Fractureen_US
dc.subjectIntramedullary Nailingen_US
dc.subjectAdulten_US
dc.titleNew interlocking intramedullary radius and ulna nails for treating forearm diaphyseal fractures in adults : a retrospective studyen_US
dc.typeArticleen_US

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