A novel reduction support frame for management of unstable tibial fractures with intramedullary nail: Preliminary report

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dc.authoridBaysan, Caner/0000-0002-7675-1391
dc.authoridSoy, Furkan/0000-0002-3513-8240
dc.contributor.authorCanbeyli, Ibrahim Deniz
dc.contributor.authorCirpar, Meric
dc.contributor.authorBaysan, Caner
dc.contributor.authorOktas, Birhan
dc.contributor.authorSoy, Furkan
dc.date.accessioned2025-01-21T16:33:17Z
dc.date.available2025-01-21T16:33:17Z
dc.date.issued2022
dc.departmentKırıkkale Üniversitesi
dc.description.abstractBACKGROUND: 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.
dc.identifier.doi10.14744/tjtes.2021.47225
dc.identifier.endpage1141
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue8
dc.identifier.pmid35920423
dc.identifier.scopus2-s2.0-85135302193
dc.identifier.scopusqualityQ3
dc.identifier.startpage1134
dc.identifier.trdizinid1137395
dc.identifier.urihttps://doi.org/10.14744/tjtes.2021.47225
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay1137395
dc.identifier.urihttps://hdl.handle.net/20.500.12587/23774
dc.identifier.volume28
dc.identifier.wosWOS:000858853800009
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectIntramedullary nailing; reduction device; reduction frame; tibial fractures
dc.titleA novel reduction support frame for management of unstable tibial fractures with intramedullary nail: Preliminary report
dc.title.alternativeAnstabil tibial kırıkların intramedüller çivileme ile tedavisinde yeni redüksiyona yardımcı destek çerçevesi: İlk sonuçlar
dc.typeArticle

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