Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing

Ezirmik, Naci; Ayas, Muhammet Salih; AYDİN, Ali; KOSE, Ahmet Cumhur; YİLDİRİM, Omer Selim; TOPAL, Murat

doi:10.5455/handmicrosurg.36294

Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing

Ahmet Cumhur KOSE, (Erzurum Bölge Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, Erzurum, Türkiye)

Murat TOPAL, (Erzurum Bölge Eğitim ve Araştırma Hastanesi, Erzurum, Türkiye)

Ali AYDİN, (Atatürk Üniversitesi Tıp Fakültesi, Erzurum, Türkiye)

Naci EZİRMİK, (Atatürk Üniversitesi Tıp Fakültesi, Erzurum, Türkiye)

Omer Selim YİLDİRİM, (Atatürk Üniversitesi Tıp Fakültesi, Erzurum, Türkiye)

Muhammet Salih AYAS (Erzurum Bölge Eğitim ve Araştırma Hastanesi, Erzurum, Türkiye)

Hand and Microsurgery

2 0

Yıl: 2019 Cilt: 8 Sayı: 3 Sayfa Aralığı: 139 - 150 Metin Dili: İngilizce DOI: 10.5455/handmicrosurg.36294 İndeks Tarihi: 31-10-2020

Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing

Öz:

Aim: The purpose of this study was to present the functional and radiological results of tricortical cancellous iliac winggrafting and intramedullary nailing performed with the modified Nicoll’s method for the treatment of cases with radius or ulnaatrophic non-union.Methods: The study which is a retrospective clinical study, included 12 patients (8 ulnas, 4 radiuses) with atrophic non-unionas a result of plate-screw osteosynthesis applied for a radius or ulna diaphyseal shaft fractures. Fixation was made withtricorticocancellous autograft and intramedullary nailing with the modified Nicoll's method. In the functional and radiologicalevaluation, a visual analog scale, grip strengths, the Grace-Eversmann scale and the DASH score were used. Forearmpronation and supination and elbow flexion and extension angles were evaluated with goniometer.Results: The patients were comprised of 8 (66.7%) males and 4 (33.3%) females All the patients were followed up formean 40.5 months (range, 12-84 months). Graft incorporation and remodeling was observed in all patients. According to theGrace-Eversmann scores, 9 patients were evaluated as excellent and 3 as good. Overall, the mean DASH score was 15.5and the mean VAS score was 1.5. There were no complications about the donor site of the autogenous iliac graft.Conclusion: In cases of isolated radius and ulna non-union with a bone defect (gap) of <2.5cm, the tricorticocancellousautografting and intramedullary nailing with a modified Nicoll’s method is a safe treatment method which provides more rigidfixation, does not require prolonged immobilization and allows early rehabilitation.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	KOSE A, TOPAL M, AYDİN A, Ezirmik N, YİLDİRİM O, Ayas M (2019). Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing. , 139 - 150. 10.5455/handmicrosurg.36294
Chicago	KOSE Ahmet Cumhur,TOPAL Murat,AYDİN Ali,Ezirmik Naci,YİLDİRİM Omer Selim,Ayas Muhammet Salih Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing. (2019): 139 - 150. 10.5455/handmicrosurg.36294
MLA	KOSE Ahmet Cumhur,TOPAL Murat,AYDİN Ali,Ezirmik Naci,YİLDİRİM Omer Selim,Ayas Muhammet Salih Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing. , 2019, ss.139 - 150. 10.5455/handmicrosurg.36294
AMA	KOSE A,TOPAL M,AYDİN A,Ezirmik N,YİLDİRİM O,Ayas M Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing. . 2019; 139 - 150. 10.5455/handmicrosurg.36294
Vancouver	KOSE A,TOPAL M,AYDİN A,Ezirmik N,YİLDİRİM O,Ayas M Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing. . 2019; 139 - 150. 10.5455/handmicrosurg.36294
IEEE	KOSE A,TOPAL M,AYDİN A,Ezirmik N,YİLDİRİM O,Ayas M "Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing." , ss.139 - 150, 2019. 10.5455/handmicrosurg.36294
ISNAD	KOSE, Ahmet Cumhur vd. "Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing". (2019), 139-150. https://doi.org/10.5455/handmicrosurg.36294

APA	KOSE A, TOPAL M, AYDİN A, Ezirmik N, YİLDİRİM O, Ayas M (2019). Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing. Hand and Microsurgery, 8(3), 139 - 150. 10.5455/handmicrosurg.36294
Chicago	KOSE Ahmet Cumhur,TOPAL Murat,AYDİN Ali,Ezirmik Naci,YİLDİRİM Omer Selim,Ayas Muhammet Salih Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing. Hand and Microsurgery 8, no.3 (2019): 139 - 150. 10.5455/handmicrosurg.36294
MLA	KOSE Ahmet Cumhur,TOPAL Murat,AYDİN Ali,Ezirmik Naci,YİLDİRİM Omer Selim,Ayas Muhammet Salih Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing. Hand and Microsurgery, vol.8, no.3, 2019, ss.139 - 150. 10.5455/handmicrosurg.36294
AMA	KOSE A,TOPAL M,AYDİN A,Ezirmik N,YİLDİRİM O,Ayas M Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing. Hand and Microsurgery. 2019; 8(3): 139 - 150. 10.5455/handmicrosurg.36294
Vancouver	KOSE A,TOPAL M,AYDİN A,Ezirmik N,YİLDİRİM O,Ayas M Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing. Hand and Microsurgery. 2019; 8(3): 139 - 150. 10.5455/handmicrosurg.36294
IEEE	KOSE A,TOPAL M,AYDİN A,Ezirmik N,YİLDİRİM O,Ayas M "Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing." Hand and Microsurgery, 8, ss.139 - 150, 2019. 10.5455/handmicrosurg.36294
ISNAD	KOSE, Ahmet Cumhur vd. "Treatment of radius or ulna diaphysis atrophic non-union with corticocancellous autograft and intramedullary nailing". Hand and Microsurgery 8/3 (2019), 139-150. https://doi.org/10.5455/handmicrosurg.36294