Effect of anatomic fibula on tibia union and alignment after intramedullary nailing of tibia shaft fractures

Ali Teoman EVREN; Yüksel Uğur YARADILMIŞ; Mustafa Caner OKKAOĞLU; Ahmet ATEŞ; İsmail DEMİRKALE; Murat ALTAY

doi:https://doi.org/10.18621/eurj.497382

Makale detayları

Effect of anatomic fibula on tibia union and alignment after intramedullary nailing of tibia shaft fractures

Yazarlar:

Ali Teoman EVREN | Yüksel Uğur YARADILMIŞ | Mustafa Caner OKKAOĞLU | Ahmet ATEŞ | İsmail DEMİRKALE | Murat ALTAY

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi:

The European Research Journal 2020 Vol.6 Issue 4, pp.337-342

Belge Tipi:

Makale

Yayın Tarihi:

7/2020

Belge Dili:

İngilizce

Document ID (Org No.):

2000662285

Sıklık:

İki Aylık

eISSN:

2149-3189

DOI:

https://doi.org/10.18621/eurj.497382

Özet:

 


Objectives: The effect of an intact or fixated fibula on tibial union and alignment in tibial shaft fractures applied with intramedullary nailing is investigated.

Methods: A retrospective examination was made of 67 patients aged 19-85 years who were applied with intramedullary nailing for a tibial shaft fracture (AO-42) between January 2010 and December 2016. The 44 patients included in the study were separated into 2 groups as those with anatomic fibula (Group 1, n = 12) and those with a fibula fracture which is not fixated (Group 2, n = 32). The patients were evaluated in respect of bone union and malalignment from direct radiographs. Union was evaluated according to the RUST criteria, and the threshold for malalignment was taken as 5˚ in the coronal and sagittal planes.

Results: The patients comprised 24 males and 20 females (M/F: 6/5) with a mean age of 42.7 years (range, 19-76 years). Non-union was observed in 3/12 patients (25%) in Group 1, and in 2/32 (6.3%) patients in Group 2 at 6 months. Malalignment was observed in 1/12 (8.3%) patients in Group 1 (procurvatum) and in 7/32 (21.8%) patients in Group 2, of which 3 (9.3%) were varus, and 4 (12.5%) were valgus. The rate of malalignment was significantly lower in Group 1 than in Group 2.

Conclusions: The results demonstrated that bone union of a tibial shaft fracture is slower in patients with an anatomic fibula compared to those with non-anatomic fibula. Although the anatomic fibula slows the rate of union, it prevents malalignment.

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Makale detayları

Effect of anatomic fibula on tibia union and alignment after intramedullary nailing of tibia shaft fractures

Yazarlar: Ali Teoman EVREN | Yüksel Uğur YARADILMIŞ | Mustafa Caner OKKAOĞLU | Ahmet ATEŞ | İsmail DEMİRKALE | Murat ALTAY

Yayıncı: Prusa Medical Publishing

Ana Başlıklar: Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi: The European Research Journal 2020 Vol.6 Issue 4, pp.337-342

Belge Tipi: Makale

Yayın Tarihi: 7/2020

Belge Dili: İngilizce

Document ID (Org No.): 2000662285

Sıklık: İki Aylık

eISSN: 2149-3189

DOI: https://doi.org/10.18621/eurj.497382

Sayı

Yazarlar:

Ali Teoman EVREN | Yüksel Uğur YARADILMIŞ | Mustafa Caner OKKAOĞLU | Ahmet ATEŞ | İsmail DEMİRKALE | Murat ALTAY

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Cerrahi ve ilgili tıbbi uzmanlıklar

Dergi:

The European Research Journal 2020 Vol.6 Issue 4, pp.337-342

Belge Tipi:

Makale

Yayın Tarihi:

7/2020

Belge Dili:

İngilizce

Document ID (Org No.):

2000662285

Sıklık:

İki Aylık

eISSN:

2149-3189

DOI:

https://doi.org/10.18621/eurj.497382