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Selection of osteosynthesis material in the surgical treatment of adult forearm diaphyseal fractures

Year 2000, Volume: 34 Issue: 2, 164 - 169, 11.09.2006

Refik Ozbal Mehmet Tezer T. Kockesen İrfan Ozturk Unal Kuzgun

Abstract

Sisli Etfal Egitim ve Arastirma Hastanesi 2. Ortopedi ve Travmatoloji Klinigi
Objectives: This study sought to determine the most approapriate osteosynthesis material in the treatment of adult forearm fractures.
Methods: A total of 55 patients (46 males, 9 females; mean age 31.5 years) underwent surgery for adult forearm fractures. According to AO/ASIF classification, most were type A3 fractures (56.3%). Treatment included plate-screw osteosynthesis (77.2%), intramedullary fixation (21.8%) and external fixation (1%). Mean follow-up was 22 months (range 4 months-9 years).
Results: The union rates were 94.5% and 96.4% for radius ulna, respectively. According to Anderson’s criteria, results were excellent in 39 cases (70.9%), satisfactory in nine cases (16.4%), unsatisfactory in five cases (9.1%), and poor in two cases (3.6%).
Conclusion: The results showed that dynamic compression plates can be preferred initially in adult forearm diaphyseal fractures, with consideration given to the type of fracture, bone nature and the patient’s age.

Keywords

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Erişkin önkol diafizer çift kırıklarının cerrahi tedavisinde osteosentez materyali seçimi

Year 2000, Volume: 34 Issue: 2, 164 - 169, 11.09.2006

Refik Ozbal Mehmet Tezer T. Kockesen İrfan Ozturk Unal Kuzgun

Abstract

Amaç: Erişkin önkol diafiz çift kırıklarının cerrahi tedavisinde en uygun osteosentez materyalinin hangisi olduğu araştırıldı.
Çalışma planı: Cerrahi tedavi uygulanan 55 hasta (46 erkek, 9 kadın; ort. yaş 31.5) değerlendirildi. Kırıklar AO/ASIF’e göre sınıflandırıldığında, en sık A3 tip (%56.3) kırık saptandı. Kırıklarda plak vidayla osteosentez (%77.2), intramedüller osteosentez (%21.8) ve eksternal fiksatör (%1) uygulandı. Hastalar ortalama 22 ay (4 ay-9 yıl) süreyle takip edildi.
Sonuçlar: Kaynama oranı radius için %94.5, ulna için %96.4 bulundu. Anderson kriterlerine göre değerlendirildiğinde 39 kırıkta mükemmel (%70.9), dokuz kırıkta iyi (%16.4), beş kırıkta yetersiz (%9.1) ve iki kırıkta kötü (%3.6) sonuç elde edildi.
Çıkarımlar: Erişkin önkol diafizer çift kırıklarında kırık tipi, kemik kalitesi ve hastanın yaşı göz önüne alınmak suretiyle öncelikli olarak dinamik kompresyon plaklarının tercih edilmesi gerektiği kanaatindeyiz.

Keywords

Bone nails;bone plates;fracture fixation;internal/methods;radius fractures/surgery;ulna fractures/surgery

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Details

Primary Language English
Journal Section Original Article
Authors

Refik Ozbal This is me

Mehmet Tezer This is me

T. Kockesen This is me

İrfan Ozturk This is me

Unal Kuzgun This is me

Publication Date September 11, 2006
Published in Issue Year 2000 Volume: 34 Issue: 2

Cite

APA Ozbal, R., Tezer, M., Kockesen, T., Ozturk, İ., et al. (2006). Selection of osteosynthesis material in the surgical treatment of adult forearm diaphyseal fractures. Acta Orthopaedica Et Traumatologica Turcica, 34(2), 164-169. https://doi.org/10.3944/aott.v34i2.1784
AMA Ozbal R, Tezer M, Kockesen T, Ozturk İ, Kuzgun U. Selection of osteosynthesis material in the surgical treatment of adult forearm diaphyseal fractures. Acta Orthopaedica et Traumatologica Turcica. September 2006;34(2):164-169. doi:10.3944/aott.v34i2.1784
Chicago Ozbal, Refik, Mehmet Tezer, T. Kockesen, İrfan Ozturk, and Unal Kuzgun. “Selection of Osteosynthesis Material in the Surgical Treatment of Adult Forearm Diaphyseal Fractures”. Acta Orthopaedica Et Traumatologica Turcica 34, no. 2 (September 2006): 164-69. https://doi.org/10.3944/aott.v34i2.1784.
EndNote Ozbal R, Tezer M, Kockesen T, Ozturk İ, Kuzgun U (September 1, 2006) Selection of osteosynthesis material in the surgical treatment of adult forearm diaphyseal fractures. Acta Orthopaedica et Traumatologica Turcica 34 2 164–169.
IEEE R. Ozbal, M. Tezer, T. Kockesen, İ. Ozturk, and U. Kuzgun, “Selection of osteosynthesis material in the surgical treatment of adult forearm diaphyseal fractures”, Acta Orthopaedica et Traumatologica Turcica, vol. 34, no. 2, pp. 164–169, 2006, doi: 10.3944/aott.v34i2.1784.
ISNAD Ozbal, Refik et al. “Selection of Osteosynthesis Material in the Surgical Treatment of Adult Forearm Diaphyseal Fractures”. Acta Orthopaedica et Traumatologica Turcica 34/2 (September 2006), 164-169. https://doi.org/10.3944/aott.v34i2.1784.
JAMA Ozbal R, Tezer M, Kockesen T, Ozturk İ, Kuzgun U. Selection of osteosynthesis material in the surgical treatment of adult forearm diaphyseal fractures. Acta Orthopaedica et Traumatologica Turcica. 2006;34:164–169.
MLA Ozbal, Refik et al. “Selection of Osteosynthesis Material in the Surgical Treatment of Adult Forearm Diaphyseal Fractures”. Acta Orthopaedica Et Traumatologica Turcica, vol. 34, no. 2, 2006, pp. 164-9, doi:10.3944/aott.v34i2.1784.
Vancouver Ozbal R, Tezer M, Kockesen T, Ozturk İ, Kuzgun U. Selection of osteosynthesis material in the surgical treatment of adult forearm diaphyseal fractures. Acta Orthopaedica et Traumatologica Turcica. 2006;34(2):164-9.