| Yazarlar |
Dr. Öğr. Üyesi Levent HOROZ
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Cihan KIRÇIL
Kırşehir Ahi Evran Üniversitesi, Türkiye |
Dr. Öğr. Üyesi Mehmet Fevzi ÇAKMAK
Kırşehir Ahi Evran Üniversitesi, Türkiye |
| Özet |
| Background Surgical treatment of irreducible distal radius diaphyseal- metaphyseal junction fractures involves difficulties as the fracture remains too proximal for K-wire fixation and too distal for the elastic stable intramedullary nail. Our study aims to present the clinical results of applying an elastic stable intramedullary nail with a poller K-wire to achieve both reduction and stable fixation. Patients and methods A retrospective analysis was performed on 26 patients who underwent ESIN with a poller K-wire for distal radius diaphyseal-metaphyseal region fracture. Reduction parameters such as residual angulation and alignment were evaluated on postoperative follow-up radiographs. Changes in angular and alignment parameters on follow-up radiographs were recorded. Wrist and forearm functions were evaluated at the last follow-up. Result There were 17 male and nine female patients with an average age of 10.9. The residual angulation in coronal and sagittal planes on immediate postoperative radiographs was 4.0 +/- 1.62(degrees); and 3.0 +/- 1.26(degrees);, respectively. The mean translation rate on immediate postoperative radiographs was 6.0 +/- 1.98% and 5.0 +/- 2.02% in the coronal and sagittal planes, respectively. No change was observed in translation rates in the last follow-ups. The mean angulation in the coronal and sagittal planes measured on 6th-week radiographs was 4.0 +/- 1.72(degrees) 3.0 +/- 1.16(degrees,) respectively. No significant difference was observed in angular changes in the sagittal and coronal planes at the last follow-up (p > 0.05). No tendon injury or neurovascular injury was observed in any of the patients. Conclusion In the surgical treatment of pediatric DRDMJ fractures, applying ESIN with poller K-wire is an effective, safe, and novel method for achieving reduction and stable fixation. |
| Anahtar Kelimeler |
| Elastic stable intramedullary nailing, Diaphyseal metaphyseal junction, Pediatric, Distal radius fracture |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | BMC musculoskeletal disorders |
| Dergi ISSN | 1471-2474 |
| Dergi Tarandığı Indeksler | SCI-Expanded |
| Dergi Grubu | Q2 |
| Makale Dili | Türkçe |
| Basım Tarihi | 03-2024 |
| Cilt No | 25 |
| Sayı | 1 |
| Sayfalar | 228 / |
| Doi Numarası | 10.1186/s12891-024-07358-5 |
| Atıf Sayıları |
