THE EFFECT OF INTACT FIBULA ON UNION AND FUNCTIONAL OUTCOMES FOR TREATING TIBIAL DIAPHYSEAL FRACTURES WITH INTRAMEDULLARY NAILING: EVALUATION WITH RADIOGRAPHIC UNION SCORE IN TIBIAL FRACTURES

Taha Kızılkurt; Yaşar Samet Gökçeoğlu; Mert Ballı; İsmail Tarık Atasoy; Halil İbrahim Balcı; Mehmet Aşık

Makale detayları

THE EFFECT OF INTACT FIBULA ON UNION AND FUNCTIONAL OUTCOMES FOR TREATING TIBIAL DIAPHYSEAL FRACTURES WITH INTRAMEDULLARY NAILING: EVALUATION WITH RADIOGRAPHIC UNION SCORE IN TIBIAL FRACTURES

Yazarlar:

Taha Kızılkurt | Yaşar Samet Gökçeoğlu | Mert Ballı | İsmail Tarık Atasoy | Halil İbrahim Balcı | Mehmet Aşık

Yayıncı:

Istanbul University

Ana Başlıklar:

Ortopedi

Dergi:

İstanbul Tıp Fakültesi Dergisi Vol.88 Issue 3, pp.185-189

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001356757

pISSN:

1305-6441

Anahtar kelimeler:

Özet:

 Objective: To compare radiographic union score for tibial RUST fractures scores, union status, and functional outcomes of isolated tibial and both tibia and fibula fracture treated with intramedullary nailing. Materials and Methods: The records of 205 patients diagnosed with tibial diaphyseal fractures and treated with intramedullary nailing between January 2015 and December 2020 were reviewed, and 74 patients were included in the study. Patients were divided into two groups: isolated tibial fracture Group 1 and both tibia and fibula fracture Group 2. The smoking status and presence of open fractures were noted. The RUST was retrospectively evaluated using radiographs at 3rd, 6th, 9th, and 12th months. The SF-36 physical function score and VAS were evaluated at the last follow-up visit. Results: The mean age of the patients was 41.9 years 18-77. Twenty five patients stage 1 in 12, stage 2 in 8 and stage 3 in 5 had open fractures. When the RUST scores were evaluated, a statistically higher rate of union was observed in Group 2 than in Group 1 at the 3rd, 6th, 9th and 12th months. While union was seen in the 6th month radiographs in Group 2, it was seen in the 12th month in Group 1. Smoking and open fractures significantly decreased RUST scores at 6th month. However, there was no difference in RUST scores at the 12th month. In addition, there was no significant difference in the SF-36 physical function score or VAS between the two groups at the last follow-up. Conclusion: Although radiological union is slower in isolated tibial fractures than in both tibia and fibula fractures, union can be achieved in both groups at the 12th month. A similar phenomenon was observed in smokers and open fractures. Especially in isolated tibial fractures, smokers and patients with open fractures; it is advisable to wait for this period before performing additional procedures.

 Objective: To compare radiographic union score for tibial RUST fractures scores, union status, and functional outcomes of isolated tibial and both tibia and fibula fracture treated with intramedullary nailing. Materials and Methods: The records of 205 patients diagnosed with tibial diaphyseal fractures and treated with intramedullary nailing between January 2015 and December 2020 were reviewed, and 74 patients were included in the study. Patients were divided into two groups: isolated tibial fracture Group 1 and both tibia and fibula fracture Group 2. The smoking status and presence of open fractures were noted. The RUST was retrospectively evaluated using radiographs at 3rd, 6th, 9th, and 12th months. The SF-36 physical function score and VAS were evaluated at the last follow-up visit. Results: The mean age of the patients was 41.9 years 18-77. Twenty five patients stage 1 in 12, stage 2 in 8 and stage 3 in 5 had open fractures. When the RUST scores were evaluated, a statistically higher rate of union was observed in Group 2 than in Group 1 at the 3rd, 6th, 9th and 12th months. While union was seen in the 6th month radiographs in Group 2, it was seen in the 12th month in Group 1. Smoking and open fractures significantly decreased RUST scores at 6th month. However, there was no difference in RUST scores at the 12th month. In addition, there was no significant difference in the SF-36 physical function score or VAS between the two groups at the last follow-up. Conclusion: Although radiological union is slower in isolated tibial fractures than in both tibia and fibula fractures, union can be achieved in both groups at the 12th month. A similar phenomenon was observed in smokers and open fractures. Especially in isolated tibial fractures, smokers and patients with open fractures; it is advisable to wait for this period before performing additional procedures.

 Objective: To compare radiographic union score for tibial RUST fractures scores, union status, and functional outcomes of isolated tibial and both tibia and fibula fracture treated with intramedullary nailing. Materials and Methods: The records of 205 patients diagnosed with tibial diaphyseal fractures and treated with intramedullary nailing between January 2015 and December 2020 were reviewed, and 74 patients were included in the study. Patients were divided into two groups: isolated tibial fracture Group 1 and both tibia and fibula fracture Group 2. The smoking status and presence of open fractures were noted. The RUST was retrospectively evaluated using radiographs at 3rd, 6th, 9th, and 12th months. The SF-36 physical function score and VAS were evaluated at the last follow-up visit. Results: The mean age of the patients was 41.9 years 18-77. Twenty five patients stage 1 in 12, stage 2 in 8 and stage 3 in 5 had open fractures. When the RUST scores were evaluated, a statistically higher rate of union was observed in Group 2 than in Group 1 at the 3rd, 6th, 9th and 12th months. While union was seen in the 6th month radiographs in Group 2, it was seen in the 12th month in Group 1. Smoking and open fractures significantly decreased RUST scores at 6th month. However, there was no difference in RUST scores at the 12th month. In addition, there was no significant difference in the SF-36 physical function score or VAS between the two groups at the last follow-up. Conclusion: Although radiological union is slower in isolated tibial fractures than in both tibia and fibula fractures, union can be achieved in both groups at the 12th month. A similar phenomenon was observed in smokers and open fractures. Especially in isolated tibial fractures, smokers and patients with open fractures; it is advisable to wait for this period before performing additional procedures.

 Amaç: İntramedüller çivi ile tedavi edilen izole tibia ve krus çift kırıklarının radyografik kaynama skorlama sistemi RUST skorları, kaynama durumu ve fonksiyonel sonuçlarının karşılaştırılması. Gereç ve Yöntem: Ocak 2015 ile Aralık 2020 tarihleri arasında tibia diyafiz kırığı tanısı alan ve intramedüller çivileme ile tedavi edilen 205 hastanın kayıtları incelendi ve 74 hasta çalışmaya dahil edildi. İzole tibia kırığı Grup 1 ve krus çift kırık Grup 2 olmak üzere hastalar 2 gruba ayrıldı. Sigara içme durumu ve açık kırık olup olmadığı bilgileri not edildi. RUST 3., 6., 9. ve 12. aylardaki grafilerle retrospektif olarak değerlendirildi. Son kontrollerinde SF-36 fiziksel fonksiyon skoru ve VAS değerlendirildi. Bulgular: Hastaların ortalama yaşı 41,9 18-77 idi. Yirmi beş hastada evre 1de 12, evre 2de 8 ve evre 3de 5 açık kırık mevcuttu. RUST puanları değerlendirildiğinde Grup 2de Grup 1e göre 3., 6., 9. ve 12. aylarda istatistik olarak daha yüksek oranda kaynama görüldü. Kaynama Grup 2de ortalama 6. ay grafilerinde görülürken Grup 1de 12. ayda görülmüştür. Sigara içmek ve açık kırık olması 6. ay RUST skorlarını anlamlı olarak düşürmüştür. Ancak 12. ay RUST skorlarında fark izlenmemiştir. Ayrıca son kontrollerinde her iki grup arasında SF-36 fiziksel fonksiyon skoru ve VAS arasında anlamlı fark belirlenmemiştir. Sonuç: İzole tibia kırıklarında krus çift kırıklarına göre radyolojik olarak kaynama daha yavaş olmakla birlikte 12. ayda her iki grupta da kaynama sağlanabilmektedir. Sigara kullananlarda ve açık kırıklarda da benzer bir durum gözlenmektedir. Özellikle izole tibia kırıklarında, sigara içen hastalarda ve açık kırıklarda ek işlem için bu süreyi beklemek faydalı olacaktır.

Makale detayları

THE EFFECT OF INTACT FIBULA ON UNION AND FUNCTIONAL OUTCOMES FOR TREATING TIBIAL DIAPHYSEAL FRACTURES WITH INTRAMEDULLARY NAILING: EVALUATION WITH RADIOGRAPHIC UNION SCORE IN TIBIAL FRACTURES

Yazarlar:

Taha Kızılkurt | Yaşar Samet Gökçeoğlu | Mert Ballı | İsmail Tarık Atasoy | Halil İbrahim Balcı | Mehmet Aşık

Yayıncı:

Istanbul University

Ana Başlıklar:

Ortopedi

Dergi:

İstanbul Tıp Fakültesi Dergisi Vol.88 Issue 3, pp.185-189

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001356757

pISSN:

1305-6441

Both tibia and fibula fracture

intramedullary nailing

union

nonunion

radiographic union score in tibial fractures

isolated tibia fractureHem tibia hem de fibula kırığı

intramedullar çivileme

kaynama

kaynamama

Tibia kırıklarında radyografik kaynama skorlama sistemi

izole tibia kırığı

Sayı

Makale detayları

Yazarlar: Taha Kızılkurt | Yaşar Samet Gökçeoğlu | Mert Ballı | İsmail Tarık Atasoy | Halil İbrahim Balcı | Mehmet Aşık

Yayıncı: Istanbul University

Ana Başlıklar: Ortopedi

Dergi: İstanbul Tıp Fakültesi Dergisi Vol.88 Issue 3, pp.185-189

Belge Tipi: Makale

Yayın Tarihi: 7/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001356757

pISSN: 1305-6441

Sayı

Yazarlar:

Taha Kızılkurt | Yaşar Samet Gökçeoğlu | Mert Ballı | İsmail Tarık Atasoy | Halil İbrahim Balcı | Mehmet Aşık

Yayıncı:

Istanbul University

Ana Başlıklar:

Ortopedi

Dergi:

İstanbul Tıp Fakültesi Dergisi Vol.88 Issue 3, pp.185-189

Belge Tipi:

Makale

Yayın Tarihi:

7/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001356757

pISSN:

1305-6441