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Title: | The effects of radial bowing and complications in intramedullary nail fixation of adult forearm fractures | Authors: | Yörükoğlu, Ali Demirkan, Ahmet Fahir Akman, Alp Kitiş, Ali Usta, Hande |
Keywords: | Forearm injuries Fracture fixation Intramedullary Radial bowing Synostosis adolescent adult adverse effects aged bone nail diagnostic imaging female forearm fracture healing Fractures, Ununited human intramedullary nailing male middle aged pathology procedures radius Radius Fractures retrospective study synostosis treatment outcome young adult Adolescent Adult Aged Bone Nails Female Forearm Fracture Fixation, Intramedullary Fracture Healing Humans Male Middle Aged Radius Retrospective Studies Treatment Outcome Young Adult |
Publisher: | Turkish Joint Diseases Foundation | Abstract: | Objectives: This study aims to evaluate the effects of radial bowing changes on fracture healing and functional results in adult forearm intramedullary nail applications and complications of forearm nails that have been discussed rarely in the literature. Patients and methods: Twenty-three patients -11 with isolated radius and 12 with both radius and ulna fractures- (17 males, 6 females; mean age 38.6 years; range 18 to 69 years) who were operated between September 2009 and August 2014 were included in the study. The effects of radial bowing changes on bone healing rates, time to union, and functional levels of the forearm as well as complications of forearm nails were evaluated. Results: We observed fracture healing without any complication in 20 patients (86.9%) and nonunion in three patients (13.1%) although six months had passed after the operation. Statistically significant difference was detected between radial bowing change and nonunion (p=0.01). Two patients (8.6%) with AO/OTA Classification (The Arbeitsgemeinschaft für Osteosynthesefragen [AO]/Orthopaedic Trauma Association [OTA] Classification), type B3 forearm double fractures had synostosis. Extensor pollicis longus tendon rupture or impingement was detected in six patients (26.8%) for which nails were applied on radius fracture. Conclusion: Intramedullary nail application may be an appropriate treatment alternative in forearm fractures with their high healing rates; however, synostosis may arise with its use in wedge fractures (AO/OTA type B3) at the same level. Although radial bowing changes do not have a significant effect on ranges of motion of the forearm, it should be kept in mind that fracture healing may be affected adversely in patients with radial bowing changes of high rates. Complications regarding extensor pollicis longus tendon may develop during intra- or postoperative periods in patients for which a radius nail has been applied. | URI: | https://hdl.handle.net/11499/9193 https://doi.org/10.5606/ehc.2017.05 |
ISSN: | 1305-8282 |
Appears in Collections: | PubMed İndeksli Yayınlar Koleksiyonu / PubMed Indexed Publications Collection Scopus İndeksli Yayınlar Koleksiyonu / Scopus Indexed Publications Collection Tıp Fakültesi Koleksiyonu TR Dizin İndeksli Yayınlar Koleksiyonu / TR Dizin Indexed Publications Collection WoS İndeksli Yayınlar Koleksiyonu / WoS Indexed Publications Collection |
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