How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating

Kayali, Cemil; EREN, Ahmet; ÖZLÜK, Serkan; Agus, Haluk

How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating

Cemil KAYALI, (Tepecik Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İzmir, Türkiye)

Haluk AĞUŞ, (Tepecik Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İzmir, Türkiye)

Ahmet EREN, (Tepecik Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Kliniği, İzmir, Türkiye)

Serkan ÖZLÜK (Elazığ Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği, Elazığ, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2009 Cilt: 15 Sayı: 3 Sayfa Aralığı: 243 - 248 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating

Öz:

Açık tibia kırıklarında iki farklı tedavi yönteminin geriye dönük incelemeyle karşılaştırılması amaçlandı.GEREÇ VE YÖNTEM Tip I ve II açık tibia kırıklı 45 olgu çalışmaya alındı. Olguların 25’i (Grup I) minimal invasif plak osteosentezi (MİPO) ile, geriye kalan 20 olgu (Grup II) kısmi oymalı intramedüller çivi ile tedavi edildi. Son kontrolde klinik değerlendirme modifiye Ketenjiyan ölçütler kullanılarak yapıldı. BULGULAR Olguların tam yüklenme süreleri Grup I’de 21, Grup II’de 22,4 hafta idi. Grup I’de kaynamama saptanan bir olguya halkasal fiksatörle yeniden tespit sağlandı. Bir olguda kronik ostemiyelit gelişmesi nedeniyle tespit cihazı çıkarıldı. Bir diğer olguda da kötü kaynama saptandı. Grup II’de kaynamama gelişen iki olguya; biri intramedüller çivi ile diğeri halkasal fiksatörle yeniden tespit uygulandı. Ek olarak bir olguda kötü kaynama, bir değerinde ise kronik osteomiyelit gelişen geç komplikasyonlardı. Son kontrolde klinik yeterlilik oranları; Grup I’de 21/25, Grup II’de 18/20 idi. Bu sonuçlar arasında anlamlı fark saptanmadı (p>0,05). SONUÇ Her iki grupta sağlanan klinik sonuçlar benzerdir. İntramedüller çiviler açık tibia kırıklarında ilk tercih olmasına rağmen MİPO alternatif bir tedavi seçeneğidir.

Anahtar Kelime: Kırık tespiti, internal Tibia kırıkları Kırıklar, açık Kemik plakları Tedavi sonucu Kırık tespiti, intramedüller Kemik çivileri Geriyedönük çalışma Yük verme

Konular: Cerrahi

Açık tibia kırıkları nasıl tedavi edilmelidir? İntramedüller çivileme ve biyolojik plaklama arasında kıyaslamalı geriye dönük çalışma

Öz:

In this retrospective study, our purpose was to compare two treatment alternatives clinically.METHODSForty-five patients who had grade I or II open tibia fractures were included. Twenty-five of them, treated via minimally invasive plate osteosynthesis (MIPO), comprised group I. The latter 20 cases, treated via partial reamed intramedullary nailing (PR-IMN), comprised group II. Clinical evaluation was made on the basis of modified Ketenjian’s criteria. RESULTS Full weight-bearing periods in groups I and II were 21 and 22.4 weeks, respectively. Non-union in one case of group I was revised with circular fixator. In another case, implant removal was needed due to chronic osteomyelitis. Mal-union was detected in another. In group II, two cases needed implant revision with intramedullary nail in one and circular fixator in another for non-union. Mal-union in one case and chronic osteomyelitis in another were the late complications in group II. At the last follow-up, satisfaction rates were: 21/25 in group I and 18/20 in group II. There was no significant difference between groups (p>0.05).CONCLUSION The clinical results of both groups were similar. Although intramedullary nailing is the first choice, MIPO is an alternative method for open tibia fractures.

Anahtar Kelime: Bone Nails Retrospective Studies Weight-Bearing Fracture Fixation, Internal Tibial Fractures Fractures, Open Bone Plates Treatment Outcome Fracture Fixation, Intramedullary

Konular: Cerrahi

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

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APA	Kayali C, Agus H, EREN A, ÖZLÜK S (2009). How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating. , 243 - 248.
Chicago	Kayali Cemil,Agus Haluk,EREN Ahmet,ÖZLÜK Serkan How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating. (2009): 243 - 248.
MLA	Kayali Cemil,Agus Haluk,EREN Ahmet,ÖZLÜK Serkan How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating. , 2009, ss.243 - 248.
AMA	Kayali C,Agus H,EREN A,ÖZLÜK S How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating. . 2009; 243 - 248.
Vancouver	Kayali C,Agus H,EREN A,ÖZLÜK S How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating. . 2009; 243 - 248.
IEEE	Kayali C,Agus H,EREN A,ÖZLÜK S "How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating." , ss.243 - 248, 2009.
ISNAD	Kayali, Cemil vd. "How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating". (2009), 243-248.

APA	Kayali C, Agus H, EREN A, ÖZLÜK S (2009). How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating. Ulusal Travma ve Acil Cerrahi Dergisi, 15(3), 243 - 248.
Chicago	Kayali Cemil,Agus Haluk,EREN Ahmet,ÖZLÜK Serkan How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating. Ulusal Travma ve Acil Cerrahi Dergisi 15, no.3 (2009): 243 - 248.
MLA	Kayali Cemil,Agus Haluk,EREN Ahmet,ÖZLÜK Serkan How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating. Ulusal Travma ve Acil Cerrahi Dergisi, vol.15, no.3, 2009, ss.243 - 248.
AMA	Kayali C,Agus H,EREN A,ÖZLÜK S How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating. Ulusal Travma ve Acil Cerrahi Dergisi. 2009; 15(3): 243 - 248.
Vancouver	Kayali C,Agus H,EREN A,ÖZLÜK S How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating. Ulusal Travma ve Acil Cerrahi Dergisi. 2009; 15(3): 243 - 248.
IEEE	Kayali C,Agus H,EREN A,ÖZLÜK S "How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating." Ulusal Travma ve Acil Cerrahi Dergisi, 15, ss.243 - 248, 2009.
ISNAD	Kayali, Cemil vd. "How should open tibia fractures be treated? A retrospective comparative study between intramedullary nailing and biologic plating". Ulusal Travma ve Acil Cerrahi Dergisi 15/3 (2009), 243-248.