Comparison of non-compression and compression interlocking intramedullary nailing in rabbit femoral shaft osteotomy model

Baki, Mehmet Emre; Aldemir, Cengiz; Duygun, Fatih; Doğan, Ali; Keri̇moğlu, Gökçen

doi:10.5606/ehc.2017.54333

Cited by 12 publications

(13 citation statements)

References 19 publications

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“…[1,2] Tibial intramedullary (IM) nails can be grouped as locked or historical unlocked nails. During locked tibial IM nailing procedure, proximal interlocking screws can be placed easily by proximal targeting device; however, there are various methods for the placement of distal interlocking screws, which can increase radiation exposure time and lengthen the entire operative time.…”

Section: öZmentioning

confidence: 99%

Is talon tibial intramedullary nailing clinically superior compared to conventional locked nailing?

Çamurcu

Sofu

Issın

et al. 2017

Eklem Hastalik Cerrahisi

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ÖZAmaç: Bu çalışmada talon tibial intramedüller (İM) çivilemenin sonuçları ile konvansiyonel distal kilitli tibial İM çivilemenin sonuçları karşılaştırıldı. Hastalar ve yöntemler: Çalışmaya Ocak 2013 -Ocak 2016 tarihleri arasında tek taraflı, kapalı veya açık (Gustilo-Anderson tip 1) tibia diyafiz kırığı (Ortopedik Travma Birliği 42) tanısı ile tibial İM çivileme yapılan 60 hasta (37 erkek, 23 kadın; ort. yaş 42.2 yıl; dağılım 18-92 yıl) dahil edildi. Hastalar talon tibial İM çivileme grubu (grup 1, n=30) ve distal kilitli tibial İM çivileme grubu (grup 2, n=30) olmak üzere iki gruba ayrıldı. Tüm hastaların ameliyat ve toplam radyasyona maruz kalma süreleri kaydedildi. Son kontrolde, Amerikan Ortopedik Ayak ve Ayak Bileği Derneği ve Tegner Lysholm skorları klinik sonuçlar açısından değerlendirildi. Tüm komplikasyonlar kaydedildi. Bulgular: Ortalama ameliyat süresi grup 1'de 43.8 dakika, grup 2'de 50.2 dakika idi. Grup 1'de ortalama radyasyona maruz kalma süresi 5.4 dakika idi ve bu süre 17.5 dakika olan grup 2'nin süresinden üç kat daha kısa idi. Kaynamaya kadar geçen ortalama süre, grup 1'de 16.9 hafta ve grup 2'de 12.2 hafta idi. Ameliyat, radyasyona maruz kalma ve kaynama sürelerinde iki grup arasında istatistiksel olarak anlamlı farklılıklar vardı (sırasıyla p= 0.009, p= 0.001, p= 0.001). Amerikan Ortopedik Ayak ve Ayak Bileği Derneği ve Tegner Lysholm skorları karşılaştırıldığında, istatistiksel olarak anlamlı farklılık yoktu (p= 0.951 ve p= 0.896). Sonuç: Talon tibial İM çivileme, daha kısa ameliyat ve radyasyona maruz kalma süreleri ile konvansiyonel distal kilitli tibial İM çivilemenin daha kolay ve güvenilir bir alternatifidir. Bununla birlikte, radyografik kaynamaya kadar geçen sürenin konvansiyonel tibial İM çivilemeye kıyasla daha uzun olabileceği akılda tutulmalıdır.

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Section: öZmentioning

confidence: 99%

Is talon tibial intramedullary nailing clinically superior compared to conventional locked nailing?

Çamurcu

Sofu

Issın

et al. 2017

Eklem Hastalik Cerrahisi

View full text Add to dashboard Cite

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“…[12] Because of the fact that anatomical slopes and fracture surface areas of the bones vary, the stress values obtained with the same amount of compressions in the humerus, femur, and tibia differ in finite element studies. [11,12] According to our clinical results and the experimental studies of Baki et al, [11] optimal compression is the amount of compression which produces a stress value between 34 and 88 MPa. We believe that the MPa parameter, which shows surface stress tension, is more important than the millimeter and Newton parameters, which show compression.…”

Section: Discussionmentioning

confidence: 89%

“…In another study, Baki et al [11] demonstrated the effects of different compression amounts on fracture union in an experimental study on rabbits in which they introduced 0.5 and 1 mm of compression on the fracture surface and performed finite element studies. They reported that 0.5 mm of compression resulted in a stress value of 34.5 MPa, while this value was 88 MPa for 1 mm of compression.…”

Section: Discussionmentioning

confidence: 99%

Effect of intramedullary nail compression amount on the union process of tibial shaft fracture and the evaluation of this effect with a different parameter

Duygun

Aldemir

2018

Eklem Hastalik Cerrahisi

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“…In an experimental study conducted by Baki et al [11] using rabbits, they demonstrated the effects of different compression levels on fracture union. They applied 0.5-mm and 1-mm compression to the fracture surface and subsequently conducted finite element studies.…”

Section: Discussionmentioning

confidence: 99%

Fınıte Element Analysis Of The Effect Of Intramedullary Naıl Compressıon Amount On Fracture Unıon In Dıstal Tıbıal Dıaphyseal Fractures

Turhan¹

2019

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: The objective of this study was to investigate the relationship between the stress values on the fracture surface and union periods seen in cases of different compression amounts used to manage distal tibial diaphyseal fractures treated with intramedullary nailing (IMN). METHODS: Ninety-five patients (mean age: 33.99±10.65 years; male: n=78, female: n=17) with tibial shaft fracture were included in the study. The patients were divided into 3 groups: No compression was used in Group 1 (33 patients), and dynamic compressive fixation was performed with IMN in Group 2 (1 mm, 32 patients) and Group 3 (1.5 mm, 30 patients). A finite element study was performed for Group 2 and Group 3. RESULTS: The average time to achieve radiological union was 16.08±2.02, 13.54±1.52, and 12.56±1.73 weeks in Groups 1, 2, and 3, respectively. Comparatively, the union period in the non-compression group was significantly longer (p<0.001). The functional results were evaluated as excellent in 28 (85%) patients and good-medium in 5 (15%) in Group 1, excellent in 27 (92%) and good-medium in 5 (8%) in Group 2, and excellent in 26 (92%) and good-medium in 4 (8%) in Group 3. CONCLUSION: IMN is a highly effective treatment method for tibial shaft fracture.

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Comparison of non-compression and compression interlocking intramedullary nailing in rabbit femoral shaft osteotomy model

Cited by 12 publications

References 19 publications

Is talon tibial intramedullary nailing clinically superior compared to conventional locked nailing?

Is talon tibial intramedullary nailing clinically superior compared to conventional locked nailing?

Effect of intramedullary nail compression amount on the union process of tibial shaft fracture and the evaluation of this effect with a different parameter

Fınıte Element Analysis Of The Effect Of Intramedullary Naıl Compressıon Amount On Fracture Unıon In Dıstal Tıbıal Dıaphyseal Fractures

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