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    A novel reduction support frame for management of unstable tibial fractures with intramedullary nail: Preliminary report
    (Turkish Assoc Trauma Emergency Surgery, 2022) Canbeyli, İbrahim Deniz; Çırpar, Meriç; Baysan, Caner; Oktaş, Birhan; Soy, Furkan
    BACKGROUND: Management of unstable tibial fractures (UTF) can be challenging due to widening of the proximal and distal metaphyseal zone, soft tissue problems, and poor vascularity. We aimed to compare the effect of novel tibial orthopedic reduction support (TORS) frame constructed by re-used tubular external fixator systems and manual traction with regard to the quality of reduction, and fracture healing. METHODS: A total of 65 patients who were admitted with UTF and underwent intramedullary nailing were assessed; 43 patients underwent manual traction technique, and 22 patients underwent TORS technique. The sagittal and coronal plane angulations were evaluated in initial postoperative radiographs, and radiologic union scores for tibial fractures (RUST) were compared at follow-up X-rays. RESULTS: The mean age of patients was 43.49 +/- 19.09 years in the manual-traction group and 43.41 +/- 16.8 years in the TORS group. The mean coronal plane angulation was 1.84 +/- 3.16 in the manual traction group and 1.86 +/- 4.21 in the TORS group. The mean sagittal plane angulation was 1.19 +/- 1.93 in manual traction group and 0.32 +/- 0.65 in the TORS group. The number of coronal and sagittal plane angulations >5 degrees was higher in manual traction group than TORS group. The mean RUST was significantly higher in the TORS group than in the manual traction group at 6th, 9th, and 12th -month controls. The union rates were also higher in the TORS group at 9th and 12th-month controls. CONCLUSION: TORS frame is a simple and cheap technique and should be considered as reduction support in the management of UTF by intramedullary nailing.
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    Öğe
    LOW LOSS OF REDUCTION RATES IN PEDIATRIC DISTAL RADIUS FRACTURES WITH CONSERVATIVE TREATMENT
    (2020) Canbeyli, İbrahim Deniz; Baysan, Caner; Pehlivan, Ozan
    Objective: We aimed to assess the outcomes of conservativetreatment (closed reduction and cast immobilization) in themanagement of pediatric distal radius fractures.Material and Methods: A total of 138 pediatric patients aged 3to 16 years who sustained a distal radius fracture and underwentclosed reduction and cast immobilization in emergencydepartment were included in this retrospective study. The meanage of patients at the time of close reduction was 11.47 ± 3.60(range, 3-16) years. Age, gender, classification of fracture, side,and mechanism of injury were documented. In addition,displacement and angulation data were recorded from PACSintegrated hospital information management system. Weevaluated demographic characteristics of patients andradiographic loss of reduction.Results: A total of 50 patients were female, whereas 88 patientswere male. Thirty-one patients (22.5%) had loss of reduction.Colles fractures had significantly higher varus-valgus deformity(p<0.001; <0.001; <0.001 and <0.001, respectively) and APangulation (p=0.013; <0.001; <0.001 and <0.001, respectively)than SH type-2 and Torus/Buckle fractures at the first, second,4th, and 6th weeks follow-up views. There is no significantdifference in terms of varus-valgus deformity (p=0.160; 0.283;0.263 and 0.744, respectively) and AP angulation (p=0.996,0.943, 0.816 and 0.237, respectively) at each follow-up periodbetween female and male patients. We did not find anycorrelation between age and varus-valgus and AP angulation atthe follow-up views.Conclusion: We demonstrated that closed reduction and castimmobilization is an effective treatment method for colles, SHtype II, and Torus/Buckle distal radius fractures.