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A newly designed intramedullary nail with distal interlocking system for tibia fractures in adults - the clinical results

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dc.contributor.authorKÜÇÜKDURMAZ, FATİH
dc.contributor.authorAkpinar, Fuat
dc.contributor.authorSaka, Gursel
dc.contributor.authorSaglam, Necdet
dc.contributor.authorAci, Cihan
dc.contributor.institutionauthorKÜÇÜKDURMAZ, FATİH
dc.date.accessioned2020-10-22T20:18:12Z
dc.date.available2020-10-22T20:18:12Z
dc.date.issued2012-05-01T00:00:00Z
dc.description.abstractBACKGROUND The surgical treatment of fractures of the tibia includes reamed and unreamed options. Reamed nails have mechanical advantages but they significantly harm the endosteal circulation. Unreamed nails spare the endosteal circulation, but provide a less stable fixation. In both systems, immediate full weight-bearing is not possible due to instability related to distal interlocking (DI). Further, DI is responsible for the majority of the fluoroscopy requirement and a significant loss of surgical time. In our study, we present the clinical results of a new intramedullary (IM) nail and system, which allows stable fixation with an unreamed technique that permits immediate full weight-bearing, with a minimum fluoroscopy requirement for DI. METHODS Fifty tibia fractures (49 patients) operated using our new IM system between 2008 and 2010 were evaluated retrospectively. They were allowed full weight-bearing the day after surgery. The patients were followed at least 10 months postoperatively. RESULTS Mean fluoroscopy time was 18 seconds (min: 10, max: 30) for DI. Mean union time was 9 weeks (min: 6, max: 12). There was no neurovascular injury, deep infection, malunion, delayed union, or nonunion. CONCLUSION We demonstrated that our newly developed IM nail and new DI system may be an option to solve the stability problems sourced from the DI screw. It also significantly decreases the requirement of fluoroscopy.
dc.identifier.citationKÜÇÜKDURMAZ F., Akpinar F., Saka G., Saglam N., Aci C., -A newly designed intramedullary nail with distal interlocking system for tibia fractures in adults - the clinical results-, ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY, cilt.18, ss.243-249, 2012
dc.identifier.doi10.5505/tjtes.2012.08466
dc.identifier.pubmed22864717
dc.identifier.scopus84861742508
dc.identifier.trdizinISSN: 1306-696X / 1307-7945
dc.identifier.trdizinISSN: 1306-696X / 1307-7945
dc.identifier.trdizinISSN: 1306-696X / 1307-7945
dc.identifier.urihttp://hdl.handle.net/20.500.12645/24616
dc.identifier.urihttps://tjtes.org/jvi.aspx?un=UTD-08466
dc.identifier.wosWOS:000305269000009
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjecttibia fractures
dc.titleA newly designed intramedullary nail with distal interlocking system for tibia fractures in adults - the clinical results
dc.typeArticle
dspace.entity.typePublication
local.avesis.idd29a2435-75bf-4207-ae98-ce9177e8b2f9
local.publication.isinternational1
relation.isAuthorOfPublication5545e8b7-75a3-4fee-b2ed-53db0a437463
relation.isAuthorOfPublication.latestForDiscovery5545e8b7-75a3-4fee-b2ed-53db0a437463
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