Findings related to rotational malalignment in tibial fractures treated with reamed intramedullary nailing

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dc.contributor.authorSay, Ferhat
dc.contributor.authorBülbül, Murat
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:35:39Z
dc.date.available10.07.201910:49:14
dc.date.available2019-07-10T19:35:39Z
dc.date.issued2014
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractIntroduction: Rotational malalignment following closed intramedullary nailing of tibial fractures does not attract attention but is a complication which may lead to serious results. This study aimed to present findings related to rotational malalignment from rotational alignment measurements made clinically and with computerised tomography (CT) in patients who had undergone locked intramedullary nailing for tibial fracture.Materials and methods: A total of 26 patients (male/female: 23/3) were evaluated after application of reamed locking intramedullary nailing to a diagnosed tibial shaft fracture. The mean age was determined as 37.5 ± 15.6 years. Rotational alignment was measured in both lower extremities clinically as thigh-foot angle (TFA) and radiologically with CT. Rotational malalignment was accepted as a more than 10º difference between the two lower extremities.Results: Malrotation was determined at more than 10º from TFA in two (7 %) of 26 patients and from CT in five (19 %) of 26 patients. In three of them, the malrotation was >15º. Of the patients determined with malrotation with CT, it was determined from clinical measurements in 40 %. The mean rotational difference was determined as greater with CT measurement (4.7° ± 9.5) compared to the TFA (1.1° ± 5.6) (p < 0.001). No statistically significant relationship was determined between a rotational difference over 10º and the AO fracture type, fracture location and fibula fixation.Conclusions: A significant number of patients treated with intramedullary nailing for a tibial fracture may result in rotational malalignment. To determine rotational malalignment, a thorough clinical evaluation must be made and different kinds of clinical measurements taken and, when suspicions remain, determination should be made by CT.
dc.identifier.citationSay, F. ve Bülbül, M. (2014). Findings related to rotational malalignment in tibial fractures treated with reamed intramedullary nailing. Archives of Orthopaedic and Trauma Surgery, 134(10), 1381-1386. https://dx.doi.org/10.1007/s00402-014-2052-2
dc.identifier.doi10.1007/s00402-014-2052-2
dc.identifier.endpage1386
dc.identifier.issn0936-8051
dc.identifier.issue10
dc.identifier.scopusqualityQ1
dc.identifier.startpage1381
dc.identifier.urihttps://hdl.handle.net/20.500.12511/886
dc.identifier.urihttps://dx.doi.org/10.1007/s00402-014-2052-2
dc.identifier.volume134
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherSpringer
dc.relation.ispartofArchives of Orthopaedic and Trauma Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectComputerised Tomography
dc.subjectIntramedullary Nail
dc.subjectMalrotation
dc.subjectTibia
dc.titleFindings related to rotational malalignment in tibial fractures treated with reamed intramedullary nailing
dc.typeArticle

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