Which of the three different intramedullary nail designs is superior in the treatment of femoral shaft fractures?

Taner Alıç; Cemal Güler; Murat Çalbıyık; Ercan Hassa

Makale detayları

Which of the three different intramedullary nail designs is superior in the treatment of femoral shaft fractures?

Yazarlar:

Taner Alıç | Cemal Güler | Murat Çalbıyık | Ercan Hassa

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Journal of Health Sciences and Medicine Vol.6 Issue 2, pp.467-475

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286249

pISSN:

2636-8579

Anahtar kelimeler:

Özet:

 Aim: The aim of this study a retrospective comparison was the clinical and radiological results results of patients with femoral shaft fracture made oftreated with three different types of intramedullary nail IMN. Material and Method: The study included 54 patients operated on in our clinic because of femoral shaft fracture. The records were retrospectively examined of 18 patients applied with locked IMN LIMN, 17 with blade expandable IMN BEIMN, and 19 with talon distalfix IMN TDIMN. The groups were compared statistically in respect of age, gender, BMI, affected side, operating time mins, radiation exposure number of shots, time to union weeks, visual analog scale VAS score, soft tissue problems associated with implant irritation, amount of shortening mm, coronal, sagittal and torsional angulation degrees. Results: The mean VAS score of the TDIMN group was determined to be statistically significantly higher than that of the LIMN and BEIMN groups p0.008, p0.045. The operating times were similar in the BEIN and TDIMN groups p0.768 and significantly shorter than in the LIMN group p0.001. Radiation exposure was similar in the TDIMN and BEIMN groups p0.039, and the number of shots in the LIMN group was significantly higher than in the other two groups p0.001. The coronal angulation values were lower in the TDIMN group than in the BEIMN and LIMN groups p0.001, p0.020. The sagittal angulation values were lower in the TDIMN group than in the BEIMN and LIMN groups p0.001, p0.001. No significant difference was determined between the groups in respect of time to union, limb shortness, rotational deformity, and soft tissue problems related to implant irritation p0.05. Conclusion: TDIMN is less resistant to axial loads due to its hook structure design. In fact, this is sometimes seen as a hook break. High VAS scores explain this. The sagittal and coronal angulation of the TDIMN is less, but the time to union, rotational angulation, and shortness development are similar in all three nails. This showed that all three nails did not have a significant advantage over each other in providing fracture stability.

 Aim: The aim of this study a retrospective comparison was the clinical and radiological results results of patients with femoral shaft fracture made oftreated with three different types of intramedullary nail IMN. Material and Method: The study included 54 patients operated on in our clinic because of femoral shaft fracture. The records were retrospectively examined of 18 patients applied with locked IMN LIMN, 17 with blade expandable IMN BEIMN, and 19 with talon distalfix IMN TDIMN. The groups were compared statistically in respect of age, gender, BMI, affected side, operating time mins, radiation exposure number of shots, time to union weeks, visual analog scale VAS score, soft tissue problems associated with implant irritation, amount of shortening mm, coronal, sagittal and torsional angulation degrees. Results: The mean VAS score of the TDIMN group was determined to be statistically significantly higher than that of the LIMN and BEIMN groups p0.008, p0.045. The operating times were similar in the BEIN and TDIMN groups p0.768 and significantly shorter than in the LIMN group p0.001. Radiation exposure was similar in the TDIMN and BEIMN groups p0.039, and the number of shots in the LIMN group was significantly higher than in the other two groups p0.001. The coronal angulation values were lower in the TDIMN group than in the BEIMN and LIMN groups p0.001, p0.020. The sagittal angulation values were lower in the TDIMN group than in the BEIMN and LIMN groups p0.001, p0.001. No significant difference was determined between the groups in respect of time to union, limb shortness, rotational deformity, and soft tissue problems related to implant irritation p0.05. Conclusion: TDIMN is less resistant to axial loads due to its hook structure design. In fact, this is sometimes seen as a hook break. High VAS scores explain this. The sagittal and coronal angulation of the TDIMN is less, but the time to union, rotational angulation, and shortness development are similar in all three nails. This showed that all three nails did not have a significant advantage over each other in providing fracture stability.

 Aim: The aim of this study a retrospective comparison was the clinical and radiological results results of patients with femoral shaft fracture made oftreated with three different types of intramedullary nail IMN. Material and Method: The study included 54 patients operated on in our clinic because of femoral shaft fracture. The records were retrospectively examined of 18 patients applied with locked IMN LIMN, 17 with blade expandable IMN BEIMN, and 19 with talon distalfix IMN TDIMN. The groups were compared statistically in respect of age, gender, BMI, affected side, operating time mins, radiation exposure number of shots, time to union weeks, visual analog scale VAS score, soft tissue problems associated with implant irritation, amount of shortening mm, coronal, sagittal and torsional angulation degrees. Results: The mean VAS score of the TDIMN group was determined to be statistically significantly higher than that of the LIMN and BEIMN groups p0.008, p0.045. The operating times were similar in the BEIN and TDIMN groups p0.768 and significantly shorter than in the LIMN group p0.001. Radiation exposure was similar in the TDIMN and BEIMN groups p0.039, and the number of shots in the LIMN group was significantly higher than in the other two groups p0.001. The coronal angulation values were lower in the TDIMN group than in the BEIMN and LIMN groups p0.001, p0.020. The sagittal angulation values were lower in the TDIMN group than in the BEIMN and LIMN groups p0.001, p0.001. No significant difference was determined between the groups in respect of time to union, limb shortness, rotational deformity, and soft tissue problems related to implant irritation p0.05. Conclusion: TDIMN is less resistant to axial loads due to its hook structure design. In fact, this is sometimes seen as a hook break. High VAS scores explain this. The sagittal and coronal angulation of the TDIMN is less, but the time to union, rotational angulation, and shortness development are similar in all three nails. This showed that all three nails did not have a significant advantage over each other in providing fracture stability.

 Aim: The aim of this study a retrospective comparison was the clinical and radiological results results of patients with femoral shaft fracture made oftreated with three different types of intramedullary nail IMN. Material and Method: The study included 54 patients operated on in our clinic because of femoral shaft fracture. The records were retrospectively examined of 18 patients applied with locked IMN LIMN, 17 with blade expandable IMN BEIMN, and 19 with talon distalfix IMN TDIMN. The groups were compared statistically in respect of age, gender, BMI, affected side, operating time mins, radiation exposure number of shots, time to union weeks, visual analog scale VAS score, soft tissue problems associated with implant irritation, amount of shortening mm, coronal, sagittal and torsional angulation degrees. Results: The mean VAS score of the TDIMN group was determined to be statistically significantly higher than that of the LIMN and BEIMN groups p0.008, p0.045. The operating times were similar in the BEIN and TDIMN groups p0.768 and significantly shorter than in the LIMN group p0.001. Radiation exposure was similar in the TDIMN and BEIMN groups p0.039, and the number of shots in the LIMN group was significantly higher than in the other two groups p0.001. The coronal angulation values were lower in the TDIMN group than in the BEIMN and LIMN groups p0.001, p0.020. The sagittal angulation values were lower in the TDIMN group than in the BEIMN and LIMN groups p0.001, p0.001. No significant difference was determined between the groups in respect of time to union, limb shortness, rotational deformity, and soft tissue problems related to implant irritation p0.05. Conclusion: TDIMN is less resistant to axial loads due to its hook structure design. In fact, this is sometimes seen as a hook break. High VAS scores explain this. The sagittal and coronal angulation of the TDIMN is less, but the time to union, rotational angulation, and shortness development are similar in all three nails. This showed that all three nails did not have a significant advantage over each other in providing fracture stability.

Makale detayları

Which of the three different intramedullary nail designs is superior in the treatment of femoral shaft fractures?

Yazarlar:

Taner Alıç | Cemal Güler | Murat Çalbıyık | Ercan Hassa

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Journal of Health Sciences and Medicine Vol.6 Issue 2, pp.467-475

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286249

pISSN:

2636-8579

Femoral shaft fracture

intramedullary nail

distal hook

locking

blade expandable

Femoral shaft fracture

intramedullary nail

distal hook

locking

blade expandable

Sayı

Makale detayları

Yazarlar: Taner Alıç | Cemal Güler | Murat Çalbıyık | Ercan Hassa

Yayıncı: MediHealth Academy Yayıncılık

Ana Başlıklar: Sağlık Kurumları Yönetimi

Dergi: Journal of Health Sciences and Medicine Vol.6 Issue 2, pp.467-475

Belge Tipi: Makale

Yayın Tarihi: 3/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001286249

pISSN: 2636-8579

Sayı

Yazarlar:

Taner Alıç | Cemal Güler | Murat Çalbıyık | Ercan Hassa

Yayıncı:

MediHealth Academy Yayıncılık

Ana Başlıklar:

Sağlık Kurumları Yönetimi

Dergi:

Journal of Health Sciences and Medicine Vol.6 Issue 2, pp.467-475

Belge Tipi:

Makale

Yayın Tarihi:

3/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001286249

pISSN:

2636-8579