dc.contributor.author | Alemdar, Celil | |
dc.contributor.author | Ulus, Sait Anıl | |
dc.contributor.author | Atiç, Ramazan | |
dc.contributor.author | Demir, Sebahattin | |
dc.contributor.author | Topal, İlknur | |
dc.contributor.author | Sayar, Şafak | |
dc.date.accessioned | 2023-11-14T11:05:16Z | |
dc.date.available | 2023-11-14T11:05:16Z | |
dc.date.issued | 2023 | en_US |
dc.identifier.citation | 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.942207 | en_US |
dc.identifier.issn | 1234-1010 | |
dc.identifier.issn | 1643-3750 | |
dc.identifier.uri | https://dx.doi.org/10.12659/MSM.942207 | |
dc.identifier.uri | https://hdl.handle.net/20.500.12511/11775 | |
dc.description.abstract | 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. | en_US |
dc.language.iso | eng | en_US |
dc.publisher | International Scientific Information, Inc. | en_US |
dc.rights | info:eu-repo/semantics/openAccess | en_US |
dc.subject | Tibia | en_US |
dc.subject | Fracture Fixation | en_US |
dc.subject | Intramedullary | en_US |
dc.subject | Pseudarthrosis | en_US |
dc.title | Improved outcomes in distal tibial non-union: A retrospective study of 8 patients treated with distal tibial nail and screw fixation | en_US |
dc.type | article | en_US |
dc.relation.ispartof | Medical Science Monitor | en_US |
dc.department | İstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Fizik Tedavi ve Rehabilitasyon Ana Bilim Dalı | en_US |
dc.authorid | 0000-0002-5904-2980 | en_US |
dc.identifier.volume | 29 | en_US |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | en_US |
dc.identifier.doi | 10.12659/MSM.942207 | en_US |
dc.institutionauthor | Topal, İlknur | |
dc.identifier.wosquality | Q3 | en_US |
dc.identifier.wos | 001105451600001 | en_US |
dc.identifier.scopus | 2-s2.0-85175463578 | en_US |
dc.identifier.pmid | 37927004 | en_US |
dc.identifier.scopusquality | Q2 | en_US |