Improved outcomes in distal tibial non-union: A retrospective study of 8 patients treated with distal tibial nail and screw fixation

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dc.authorid0000-0002-5904-2980
dc.contributor.authorAlemdar, Celil
dc.contributor.authorUlus, Sait Anıl
dc.contributor.authorAtiç, Ramazan
dc.contributor.authorDemir, Sebahattin
dc.contributor.authorTopal, İlknur
dc.contributor.authorSayar, Şafak
dc.date.accessioned2023-11-14T11:05:16Z
dc.date.available2023-11-14T11:05:16Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı
dc.description.abstractBackground: 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.
dc.identifier.citationAlemdar, 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.942207
dc.identifier.doi10.12659/MSM.942207
dc.identifier.issn1234-1010
dc.identifier.issn1643-3750
dc.identifier.pmid37927004
dc.identifier.scopus2-s2.0-85175463578
dc.identifier.scopusqualityQ2
dc.identifier.urihttps://dx.doi.org/10.12659/MSM.942207
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11775
dc.identifier.volume29
dc.identifier.wos001105451600001en_US
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorTopal, İlknur
dc.language.isoen
dc.publisherInternational Scientific Information, Inc.
dc.relation.ispartofMedical Science Monitoren_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectTibia
dc.subjectFracture Fixation
dc.subjectIntramedullary
dc.subjectPseudarthrosis
dc.titleImproved outcomes in distal tibial non-union: A retrospective study of 8 patients treated with distal tibial nail and screw fixation
dc.typeArticle

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