Improved outcomes in distal tibial non-union: A retrospective study of 8 patients treated with distal tibial nail and screw fixation
Künye
Alemdar, C., Ulus, S. A., Atiç, R., Demir, S., Topal, İ. ve Sayar, Ş. (2023). Improved outcomes in distal tibial non-union: A retrospective study of 8 patients treated with distal tibial nail and screw fixation. Medical Science Monitor, 29. https://dx.doi.org/10.12659/MSM.942207Özet
Background: Non-union of distal tibia fractures is a challenge in orthopedic surgery and can be due to open fractures, osteopenia, infection, or failure of surgical devices. This retrospective study aimed to describe 8 patients with non-union of distal tibial fractures treated with distal tibial nail and screw fixation. Material/Methods: According to the Gustilo-Anderson classification, 3 patients had type 2 open fractures, 1 had a type 3 open fracture, 1 had a type 1 open fracture, and 3 had closed fractures. The Association of Osteosynthesis AO classified 4 patients as A2, 2 as B2, and 2 as C2. Seven patients received distal supporting bolt-locking-screw nails (DSBLS) and 1 received DSBLS nail and plate in their most recent operation. Clinical outcomes were evaluated with American Orthopaedic Foot and Ankle Society (AOFAS) and Olerud-Molander scores. Results: All 8 patients were male, with a mean age of 35.5±14.6 years. Six patients had atrophic non-union, 1 had hypertrophic non-union, and 1 had infected non-union. Union was achieved in all patients. The average union time was 25.1 (range, 12-60) months, and the follow-up duration was 3.6 (range, 2-6) years. The mean Olerud-Molander score was 92.5 (range 85-100), and the mean AOFAS score was 91.2 (range, 85-100). There was no evidence of rotational deformity or shortening. Conclusions: Distal tibial non-unions benefit from nails with DSBLS system due to their excellent biomechanical properties. These nails facilitate union and allow patients to bear weight early in the postoperative period, enabling a quicker return to normal activities.
WoS Q Kategorisi
Q3Scopus Q Kategorisi
Q2Kaynak
Medical Science MonitorCilt
29Koleksiyonlar
- Makale Koleksiyonu [3687]
- PubMed İndeksli Yayınlar Koleksiyonu [4100]
- Scopus İndeksli Yayınlar Koleksiyonu [6377]
- WoS İndeksli Yayınlar Koleksiyonu [6495]