A New Distal Locking Technique in Intramedullary Nailing

Seyhan, Mustafa; ülkü, tekin kerem; gereli, arel; Paksoy, Ahmet E; YÜKSEL, HALİL YALÇIN

A New Distal Locking Technique in Intramedullary Nailing

Mustafa Seyhan, (Acıbadem Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Tekin ÜLKÜ, (Acıbadem Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Arel Gereli, (Acıbadem Üniversitesi Tıp Fakültesi Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Ahmet Emre Paksoy, (Bozok Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Yozgat, Türkiye)

Halil Yalçın Yüksel (Antalya Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı Antalya, Türkiye)

Cerrahpaşa Medical Journal

3 1

Yıl: 2020 Cilt: 44 Sayı: 3 Sayfa Aralığı: 137 - 144 Metin Dili: İngilizce İndeks Tarihi: 02-06-2021

A New Distal Locking Technique in Intramedullary Nailing

Öz:

Objective: This study aimed to describe a new fluoroscopy-assisted freehand distal locking technique in intramedullary nailing.Methods: The efficiency of this technique was defined by comparing the results of patients with tibial shaft fractures. A total of 114 patients with closed tibial shaft fractures treated by intramedullary nailing were included in this study. The patients were evaluated in 2 groups. Group I included the patients operated with the classical fluoroscopy-assisted freehand technique (n=46), whereas group II included patients operated with the fluoroscopy-assisted freehand technique that we described (n=68). In group II, the technique we described included locking with the help of a grooved awl with removable handgrips.Results: The rate of distal locking time to total operation time and the rate of radiation time for distal locking to total radiation time were compared. The total operation time and total radiation time were similar in both the groups (p>0.05). Distal locking time (Group I: 21.5±5.8 min and group II: 19.3±4.8 min) and radiation time for distal locking (Group I: 24.4±5.8 s and group II: 20.9±5.2 s) were shortened with the described technique (p<0.05). The rates of distal locking time to total operation time and those of radiation time for distal locking to total radiation time were also shorter in Group II (p<0.05).Conclusion: We believe that the freehand technique, using the fluoroscopy-assisted grooved awl with removable handgrips, is efficient and can be easily applied with a reasonable distal locking time and radiation exposure.

Anahtar Kelime:

Kanal İçi Çivilerin Distalden Kilitlenmesinde Yeni Bir Yöntem

Öz:

Amaç: İntramedüller çivilemede yeni, floroskopi destekli, serbest distal kilitleme tekniği tanımlanmıştır.Yöntemler: Bu tekniğin etkinliğini değerlendirmek için, tibial şaft kırığı olan hastaların sonuçları karşılaştırıldı. İntramedüller çivileme ile tedavi edilen kapalı tibial şaft kırığı olan toplam 114 hasta çalışmaya dahil edildi. Hastalar iki grupta değerlendirildi. Grup I, klasik floroskopi destekli serbest el tekniği (n=46); Grup II ise tarif ettiğimiz skopi destekli serbest el tekniği ile kullanıldı (n=68). Grup II’de tarif ettiğimiz teknik, çıkarılabilir tutma yerleri olan yivli bir bız yardımıyla kilitlenmeyi içeriyordu.Bulgular: Distal kilitleme süresinin toplam çalışma süresine oranı ile distal kilitleme süresinin toplam radyasyon süresine oranı da karşılaştırıldı. Toplam operasyon süresi ve toplam radyasyon süresi de her iki grupta benzerdi (p>0,05). Distal kilitleme süresi (Grup I: 21,5±5,8 ve Grup II: 19,3±4,8 dk) ve distal kilitleme için radyasyon süresi (Grup I: 24,4±5,8 ve Grup II: 20,9±5,2 sn) tarif edilen teknikle kısaltıldı (p<0,05). Distal kilitlenme süresinin toplam çalışma süresine oranı ve distal kilitlemenin toplam radyasyon süresine göre radyasyon süresi de Grup II’de daha kısa idi (p<0,05).Sonuç: Floroskopi destekli ve çıkarılabilir saplara sahip yivli bız kullanımı ile serbest el tekniğinin etkili ve makul bir distal kilitleme süresi ve radyasyon maruziyeti ile kolayca uygulanabileceğine inanıyoruz.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Seyhan M, ülkü t, gereli a, Paksoy A, YÜKSEL H (2020). A New Distal Locking Technique in Intramedullary Nailing. , 137 - 144.
Chicago	Seyhan Mustafa,ülkü tekin kerem,gereli arel,Paksoy Ahmet E,YÜKSEL HALİL YALÇIN A New Distal Locking Technique in Intramedullary Nailing. (2020): 137 - 144.
MLA	Seyhan Mustafa,ülkü tekin kerem,gereli arel,Paksoy Ahmet E,YÜKSEL HALİL YALÇIN A New Distal Locking Technique in Intramedullary Nailing. , 2020, ss.137 - 144.
AMA	Seyhan M,ülkü t,gereli a,Paksoy A,YÜKSEL H A New Distal Locking Technique in Intramedullary Nailing. . 2020; 137 - 144.
Vancouver	Seyhan M,ülkü t,gereli a,Paksoy A,YÜKSEL H A New Distal Locking Technique in Intramedullary Nailing. . 2020; 137 - 144.
IEEE	Seyhan M,ülkü t,gereli a,Paksoy A,YÜKSEL H "A New Distal Locking Technique in Intramedullary Nailing." , ss.137 - 144, 2020.
ISNAD	Seyhan, Mustafa vd. "A New Distal Locking Technique in Intramedullary Nailing". (2020), 137-144.

APA	Seyhan M, ülkü t, gereli a, Paksoy A, YÜKSEL H (2020). A New Distal Locking Technique in Intramedullary Nailing. Cerrahpaşa Medical Journal, 44(3), 137 - 144.
Chicago	Seyhan Mustafa,ülkü tekin kerem,gereli arel,Paksoy Ahmet E,YÜKSEL HALİL YALÇIN A New Distal Locking Technique in Intramedullary Nailing. Cerrahpaşa Medical Journal 44, no.3 (2020): 137 - 144.
MLA	Seyhan Mustafa,ülkü tekin kerem,gereli arel,Paksoy Ahmet E,YÜKSEL HALİL YALÇIN A New Distal Locking Technique in Intramedullary Nailing. Cerrahpaşa Medical Journal, vol.44, no.3, 2020, ss.137 - 144.
AMA	Seyhan M,ülkü t,gereli a,Paksoy A,YÜKSEL H A New Distal Locking Technique in Intramedullary Nailing. Cerrahpaşa Medical Journal. 2020; 44(3): 137 - 144.
Vancouver	Seyhan M,ülkü t,gereli a,Paksoy A,YÜKSEL H A New Distal Locking Technique in Intramedullary Nailing. Cerrahpaşa Medical Journal. 2020; 44(3): 137 - 144.
IEEE	Seyhan M,ülkü t,gereli a,Paksoy A,YÜKSEL H "A New Distal Locking Technique in Intramedullary Nailing." Cerrahpaşa Medical Journal, 44, ss.137 - 144, 2020.
ISNAD	Seyhan, Mustafa vd. "A New Distal Locking Technique in Intramedullary Nailing". Cerrahpaşa Medical Journal 44/3 (2020), 137-144.