Treatment of isolated diaphyseal fractures of the radius with an intramedullary nail in adults

Abstract

Our experience indicates that this new IM radius nail may be considered as an alternative to plate osteosynthesis for fractures of the radius diaphysis in adults. IM nailing of radius fractures provides reliable bony union and excellent postoperative clinical results in adults.

Intramedullary Nailing Of Adult Isolated Diaphyseal Radius Fractures

“…[1][2][3][4] Displaced radius diaphyseal fracture usually requires surgical treatment. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Köse et al Intramedullary nailing of adult isolated diaphyseal radius fractures The most commonly used and accepted method is osteosynthesis with plate and screws. [1,2] The number of studies that have evaluated outcome of isolated radius or isolated ulna fractures is limited.…”

“…Most studies have been concerned with fractures of both bones of the forearm. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Therefore, as the present study focuses on outcome of treatment of isolated radius fractures, it can be considered a valuable contribution to the literature.…”

“…More recently, a newly designed radius nail, which provides rotational stability and does not require additional fixation material, has begun to be used in the treatment of radius diaphyseal fractures. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] In the present study, a splint was used until patients could tolerate the pain, though splint immobilization was unrelated to the stability of fixation. In patients who could tolerate the pain following splinting, active movements were immediately initiated.…”

“…[13] The parabolic shape and titanium elastic properties of the radius nail provide rotational stabilization on a 3-point principle. [7][8][9] Maintaining anatomic alignment and ensuring that cortical thickness is the same at the distal and proximal ends of the fracture are the most useful aids. [13] Full range of motion during perioperative evaluation of passive supination and pronation after distal static locking demonstrates that exact anatomic reduction has been achieved.…”

“…However, the new design of intramedullary radius nails provides satisfactory functional and clinical outcomes, and the treatment method has come to be used more widely. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] …”