Comparison of clinical and functional outcomes of patients who underwent plate osteosynthesis and intramedullary nailing for forearm fractures

Okan Ateş; Mustafa Altıntaş

Makale detayları

Comparison of clinical and functional outcomes of patients who underwent plate osteosynthesis and intramedullary nailing for forearm fractures

Yazarlar:

Okan Ateş | Mustafa Altıntaş

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 1, pp.65-71

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312454

pISSN:

2717-7505

Anahtar kelimeler:

Özet:

 Aims: The aim of this study was to compare the functional and radiographic results of patients with forearm diaphyseal fractures after intramedullary nailing IMN and plate and screw osteosynthesis. Methods: A total of 58 patients, including 31 patients operated on with the plate osteosynthesis method and 27 patients operated on with the IMN method for forearm diaphyseal fractures between 2017 and 2022, were retrospectively analyzed. The mean age was 35.914.5 years in the plate group and 3313.1 years in the IMN group. The mean follow-up period was 15783 days in the IMN group and 22097 days in the plate group. Evaluation criteria for functional outcomes were forearm pronation; supination range of motion; the Disabilities of the Arm, Shoulder, and Hand DASH score; and the Grace-Eversmann score. Results: The mean union time was 66.7 days in the plate group and 54.4 days in the IMN group p0.039. The mean length of hospitalization was 3.93.44 days in the plate group and 2.931.49 days in the IMN group. The mean supination range was 72.59.9 degrees in the plate group and 72.211.8 degrees in the IMN group. The mean pronation range was 81.211.7 degrees in the plate group and 80.315.5 degrees in the IMN group. The mean follow-up period was 15783 days in the IMN group and 22097 days in the plate group p0.011. According to the Association for OsteosynthesisOrthopedic Trauma Association AOOTA classification, 30 cases were classified as type A, 21 cases as type B, and 7 cases as type C. According to the Grace-Eversmann classification, 2 cases in the plate group were classified as unacceptable, 2 were classified as acceptable, 10 were classified as good, and 16 were classified as excellent, while 2 cases in the IMN group were classified as unacceptable, 4 were classified as acceptable, 5 were classified as good, and 16 were classified as excellent. The mean DASH score was 14.7410.49 in the plate group and 15.1112.7 in the IMN group. Conclusion: With the advantages of minimal incision, less soft tissue damage, and no evacuation of the fracture hematoma, the union time and follow-up periods were found to be shorter in the IMN group. Thanks to the bearing force of intracanal intramedullary nails, patients were able to move earlier and satisfactory functional outcomes were obtained.

 Aims: The aim of this study was to compare the functional and radiographic results of patients with forearm diaphyseal fractures after intramedullary nailing IMN and plate and screw osteosynthesis. Methods: A total of 58 patients, including 31 patients operated on with the plate osteosynthesis method and 27 patients operated on with the IMN method for forearm diaphyseal fractures between 2017 and 2022, were retrospectively analyzed. The mean age was 35.914.5 years in the plate group and 3313.1 years in the IMN group. The mean follow-up period was 15783 days in the IMN group and 22097 days in the plate group. Evaluation criteria for functional outcomes were forearm pronation; supination range of motion; the Disabilities of the Arm, Shoulder, and Hand DASH score; and the Grace-Eversmann score. Results: The mean union time was 66.7 days in the plate group and 54.4 days in the IMN group p0.039. The mean length of hospitalization was 3.93.44 days in the plate group and 2.931.49 days in the IMN group. The mean supination range was 72.59.9 degrees in the plate group and 72.211.8 degrees in the IMN group. The mean pronation range was 81.211.7 degrees in the plate group and 80.315.5 degrees in the IMN group. The mean follow-up period was 15783 days in the IMN group and 22097 days in the plate group p0.011. According to the Association for OsteosynthesisOrthopedic Trauma Association AOOTA classification, 30 cases were classified as type A, 21 cases as type B, and 7 cases as type C. According to the Grace-Eversmann classification, 2 cases in the plate group were classified as unacceptable, 2 were classified as acceptable, 10 were classified as good, and 16 were classified as excellent, while 2 cases in the IMN group were classified as unacceptable, 4 were classified as acceptable, 5 were classified as good, and 16 were classified as excellent. The mean DASH score was 14.7410.49 in the plate group and 15.1112.7 in the IMN group. Conclusion: With the advantages of minimal incision, less soft tissue damage, and no evacuation of the fracture hematoma, the union time and follow-up periods were found to be shorter in the IMN group. Thanks to the bearing force of intracanal intramedullary nails, patients were able to move earlier and satisfactory functional outcomes were obtained.

 Aims: The aim of this study was to compare the functional and radiographic results of patients with forearm diaphyseal fractures after intramedullary nailing IMN and plate and screw osteosynthesis. Methods: A total of 58 patients, including 31 patients operated on with the plate osteosynthesis method and 27 patients operated on with the IMN method for forearm diaphyseal fractures between 2017 and 2022, were retrospectively analyzed. The mean age was 35.914.5 years in the plate group and 3313.1 years in the IMN group. The mean follow-up period was 15783 days in the IMN group and 22097 days in the plate group. Evaluation criteria for functional outcomes were forearm pronation; supination range of motion; the Disabilities of the Arm, Shoulder, and Hand DASH score; and the Grace-Eversmann score. Results: The mean union time was 66.7 days in the plate group and 54.4 days in the IMN group p0.039. The mean length of hospitalization was 3.93.44 days in the plate group and 2.931.49 days in the IMN group. The mean supination range was 72.59.9 degrees in the plate group and 72.211.8 degrees in the IMN group. The mean pronation range was 81.211.7 degrees in the plate group and 80.315.5 degrees in the IMN group. The mean follow-up period was 15783 days in the IMN group and 22097 days in the plate group p0.011. According to the Association for OsteosynthesisOrthopedic Trauma Association AOOTA classification, 30 cases were classified as type A, 21 cases as type B, and 7 cases as type C. According to the Grace-Eversmann classification, 2 cases in the plate group were classified as unacceptable, 2 were classified as acceptable, 10 were classified as good, and 16 were classified as excellent, while 2 cases in the IMN group were classified as unacceptable, 4 were classified as acceptable, 5 were classified as good, and 16 were classified as excellent. The mean DASH score was 14.7410.49 in the plate group and 15.1112.7 in the IMN group. Conclusion: With the advantages of minimal incision, less soft tissue damage, and no evacuation of the fracture hematoma, the union time and follow-up periods were found to be shorter in the IMN group. Thanks to the bearing force of intracanal intramedullary nails, patients were able to move earlier and satisfactory functional outcomes were obtained.

 Amaç: Bu çalışma ön kol diyafiz kırığı olan hastaların tedavisinde intramedüller çivileme IMN ve plak ve vida osteosentezi sonrası fonksiyonel ve radyografik sonuçları karşılaştırmayı amaçladı. Yöntemler: Çalışmada 2017 ile 2022 tarihleri arasında ön kol diyafiz kırıkları nedeniyle plak ile osteosentez yöntemiyle opere edilen 31 hasta ve İMN yöntemi ile opere edilen 27 hasta olmak üzere toplamda 58 hasta retrospektif olarak incelendi. Ortalama yaş plak grubunda 35.914.5 yıl, IMN grubunda ise 3313.1 yıl idi. Ortalama takip süresi IMN grubunda 15783 gün, plak grubunda ise 22097 gün idi. Fonksiyonel sonuçlar, ön kol pronasyon, supinasyon hareket açıklığı, Disabilities of the Arm, Shoulder and Hand DASH skoru ve Grace-Eversmann skorlama kriterlerine göre değerlendirildi. Bulgular: Kaynama süresi plak grubunda 66.7 gün, IMN grubunda ise 54.4 gündü p0,039. Ortalama yatış süresi plak grubunda 3.93.44 gün olarak İMN grubunda 2.931.49 olarak saptandı. Ortalama supinasyon açıklığı plak grubunda 72.59.9 derece, İMN grubunda 72.211.8 derece olarak saptandı. Ortalama pronasyon açıklığı plak grubunda 81.211.7 derece, İMN grubunda 80.315.5 derece olarak saptandı. Hastaları takip zamanı plak grubunda 220.697.5 gün, İMN grubunda 157.783 gün olarak saptandı p0.011. Association for OsteosynthesisOrthopedic Trauma Association classification AOOTA sınıflamasına göre 30 hastada tip A, 21 hastada tip B, 7 hastada tip C olarak belirlendi. Sınıflamaya göre kırık kaynama süresinde anlamlı bir farklılık saptanmadı. Grace Eversmann sınıflamasında plak grubunda 2 hastada kabul edilemez, 2 hastada kabul edilebilir, 10 hastada iyi, 16 hastada mükemmel olarak, İMN grubunda 2 hastada kabul edilemez, 4 hastada kabul edilebilir, 5 hastada iyi, 16 hastada mükemmel olarak saptandı. DASH skorlamasında plak grubunda ortalama 14.7410.49 olarak, İMN grubunda 15.1112.7 olarak saptandı. Sonuç: Minimal insizyon, daha az yumuşak doku zararı, kırık hematomunun boşaltılmaması gibi avantajların etkisiyle İMN grubunda kaynama süresi daha kısa bulundu ve buna bağlı olarak hasta takip süreleri de kısa bulundu. Hastalarda İMNnin kanal içi olması sebebiyle taşıma kuvvetine güvenilerek erken hareket başlandı ve fonksiyonel açıdan tatmin edici sonuçlar elde edildi.

Makale detayları

Comparison of clinical and functional outcomes of patients who underwent plate osteosynthesis and intramedullary nailing for forearm fractures

Yazarlar:

Okan Ateş | Mustafa Altıntaş

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 1, pp.65-71

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312454

pISSN:

2717-7505

Forearm fracture

intramedullary nailing

plate osteosynthesis

ulna fracture

radius fractureÖn kol kırığı

İntramedüller çivileme

Plak ile osteosentez

Ulna kırığı

Radius kırığı

Sayı

Makale detayları

Yazarlar: Okan Ateş | Mustafa Altıntaş

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Ortopedi

Dergi: Journal of Medicine and Palliative Care Vol.5 Issue 1, pp.65-71

Belge Tipi: Makale

Yayın Tarihi: 2/2024

Belge Dili: İngilizce

Document ID (Org No.): 2001312454

pISSN: 2717-7505

Sayı

Yazarlar:

Okan Ateş | Mustafa Altıntaş

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Ortopedi

Dergi:

Journal of Medicine and Palliative Care Vol.5 Issue 1, pp.65-71

Belge Tipi:

Makale

Yayın Tarihi:

2/2024

Belge Dili:

İngilizce

Document ID (Org No.):

2001312454

pISSN:

2717-7505