@article{article_439534, title={The effectiveness of intramedullary nailing on the fixation of tibia diaphyseal fractures: Biomechanical point of view}, journal={Turkish Journal of Clinics and Laboratory}, volume={9}, pages={221–226}, year={2018}, DOI={10.18663/tjcl.439534}, author={Tolunay, Tolga and Akkurt, Mehmet Orçun and Solak, Ahmet Şükrü}, keywords={Tibia diyafiz kırıkları,biyomekanik,intramedüller çivileme,kilitleme vidaları}, abstract={<p class="MsoNormal" style="text-align:justify;line-height:150%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Aim: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> The aim of the study was to exhibit the success rate
of nailing on tibia shaft fractures. Biomechanical advantage of the nails was
also evaluated and discussed in this study. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:150%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Material
and Methods: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> Reamed and
static interlocking intramedullary nailing was performed with closed or
mini-open reduction in 35 patients (25 males, 10 females; mean age </span> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;">37.14±13.13 </span> <span lang="en-gb" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-gb">years </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">). 27 fractures were closed and 8 fractures were open
fractures. The evaluation in the study was performed according to Johner and
Wrush criteria. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:150%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Results: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">The mean
follow-up period was </span> <span lang="en-gb" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-gb">12.5
months (range 5 to 20 months </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">).
Union occurred in all patients. Mean union period was </span> <span style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;">17.02±7.96 </span> <span lang="en-gb" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-gb">weeks </span> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">. In four cases, a valgus angulation of 2-5 degrees
was detected that whom had distal third tibial fractures. In one case, an
external rotation more than 10⁰ was detected and in another case, grave
claudication was shown. In two cases, extremity shortening of 6-10 mm was seen.
According to ankle and subtalar mobility; 27 (77.1%) of the patients were
recorded as excellent, 7 (20%) good, 1 (2.9%) moderate results. According to
Johner and Wrush criteria; 54.3% of the patients were recorded as excellent,
34.3% good, 8.6% moderate and 2.8% bad results.  <b> </b> </span> </p> <p> <b> </b> </p> <b> </b> <p class="MsoNormal" style="text-align:justify;"> </p> <p class="MsoNormal" style="text-align:justify;line-height:150%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Conclusion: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:150%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> This study suggests that reamed interlocking
intramedullary nailing is an effective method in tibia diaphyseal fractures
because of successful functional results, high union and low complication
rates. On the biomechanical side, anti-rotation of the fixation area and axial
load sharing capacity of nailing has critical demand on fracture healing. </span> </p> <p> </p> <p> </p>}, number={3}, publisher={DNT Ortadoğu Yayıncılık A.Ş.}