Fixation of unstable distal radius fractures by using expandable Intramedullary nailing system in adult patients
| dc.authorid | 0000-0003-1477-398X | |
| dc.contributor.author | Çalbıyık, Murat | |
| dc.date.accessioned | 2019-03-14T13:29:46Z | |
| dc.date.available | 2019-03-14T13:29:46Z | |
| dc.date.issued | 2018 | |
| dc.department | Hitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü | |
| dc.description.abstract | Objective: To present our experience on intramedullary nailing device Sonoma Wrx (Sonoma Orthopedic Products Inc., Santa Rosa, CA, USA) used for internal fixation of extra-articular or simple intra-articular distal radius fractures in adult population. Methods: This study was conducted from February 2011 to October 2016. A total of 48 patients (mean age 47.3±5.6 years, 35.4% females) with distal radius fracture, who underwent intramedullary distal Radius fixation by using Sonoma Wrx were included in this retrospective study. Clinical outcome measures (range of motion [ROM], visual analog scale [VAS]), functional outcomes (Disabilities of the Arm, Shoulder and Hand [DASH] score and Gartland-Werley score), radiographic scores (Stewart score) and parameters (radial inclination, volar tilt, radial height, radio-ulnar variance) and complications were evaluated. Results: The total surgery time was 24.3±2.3 minutes. Patients were followed up for 24.7±3.4 weeks. Complete fracture union was obtained at 5.5±0.9 weeks. The postoperative low VAS pain score (1.6±0.93) and high ROM values (76.7° for extension, 78.5° for supination, 80.1° for flexion, and 82.3° for pronation) indicated a very good clinical outcome. DASH score of 8.3±1.5 and Gartland-Werley score of 2.8±4.1 showed good functional outcome. The radiographic Stewart score was 1.0±1.2. Radial inclination, volar tilt, and radial height significantly increased (p<0.001), and radio-ulnar variance decreased (p=0.001) with surgery. No postoperative complication was recorded in 40 patients (83.3%). Conclusions: Sonoma Wrx, which is an expansible intramedullary elastic locking distal radius nail, offers a good alternative technique for internal fixation of unstable distal radius fractures with the advantage of minimum soft-tissue dissection and related postoperative complications. | |
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| dc.identifier.citation | Çalbıyık, M. (2018). Fixation of unstable distal radius fractures by using expandable Intramedullary nailing system in adult patients, Pakistan Journal of Medical Sciences, 34 (1), 198-203. | |
| dc.identifier.doi | 10.12669/pjms.341.14239 | |
| dc.identifier.endpage | 203 | en_US |
| dc.identifier.issn | 1682-024X | |
| dc.identifier.issue | 1 | en_US |
| dc.identifier.scopusquality | Q1 | |
| dc.identifier.startpage | 198 | en_US |
| dc.identifier.uri | https://hdl.handle.net/11491/151 | |
| dc.identifier.uri | https://doi.org/10.12669/pjms.341.14239 | |
| dc.identifier.volume | 34 | en_US |
| dc.identifier.wosquality | N/A | |
| dc.indekslendigikaynak | Web of Science | |
| dc.indekslendigikaynak | Scopus | |
| dc.indekslendigikaynak | TR-Dizin | |
| dc.indekslendigikaynak | PubMed | |
| dc.language.iso | en | |
| dc.publisher | Professional Medical Publications | |
| dc.relation.ispartof | Pakistan Journal of Medical Sciences | |
| dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.subject | Distal Radius Fracture | en_US |
| dc.subject | Internal Fixation | en_US |
| dc.subject | Intramedullary Nailing | en_US |
| dc.title | Fixation of unstable distal radius fractures by using expandable Intramedullary nailing system in adult patients | |
| dc.type | Article |
