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Comparison of new design locked intramedullary nails and plate osteosynthesis in adult isolated diaphyseal radius fractures

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Abstract

Purpose

In this study, we retrospectively evaluated patients with isolated diaphyseal radius fractures treated with plates or IMNs and compared their radiological and functional results.

Methods

49 patients who met the criteria were included in the study. Of these, 22 were treated with plate osteosynthesis and 27 with IMNs. The mean age of plate group was 36.8 (range 17–68), IMN group was 34.3 (range 18–74). 39 (79.6%) of the patients were males and 10 (20.4%) were females. The mean follow-up period was 26 (range 12–48) months.

Results

The mean union time was 12.1 ± 0.9 weeks in the IMN group and 12.2 ± 1.2 weeks in the plate group. Union was achieved in all patients in the IMN group (100%) and in 21 of 22 patients in the plate group (95.4%). The mean operation time was 21 (range 15–35) min in the IMN group and 46 (range 40–110) min in the plate group. There was no statistically significant difference between groups according to DASH scores, Grace–Eversmann evaluations, grip strength, forearm pronation and supination degrees, type of fracture, length of hospital stay, and time between injury and surgery (p > 0.05). Complete elbow and wrist range of motion was achieved in all patients.

Conclusions

With similar union rates, functional results, and shorter operating times, locked IMNs are a suitable alternative to plate osteosynthesis in adult isolated diaphyseal radius fractures.

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References

  1. Reilly TJ. Isolated and combined fractures of the diaphysis of the radius and ulna. Hand Clin. 2002;18(1):179–94.

    Article  CAS  Google Scholar 

  2. Dodge HS, Cady GW. Treatment of fractures of radius and ulna with compression plates. J Bone Jt Surg Am. 1972;54(6):1167–76.

    Article  CAS  Google Scholar 

  3. Chapman MW, Gordon JE, Zissimos AG. Compression-plate fixation of acute fractures of the diaphyses of the radius and ulna. J Bone Jt Surg Am. 1989;71(2):159–69.

    Article  CAS  Google Scholar 

  4. Moss JP, Bynum DK. Diaphyseal fractures of the radius and ulna in adults. Hand Clin. 2007;23(2):143–51.

    Article  Google Scholar 

  5. Saka G, Saglam N, Kurtulmuş T, Avcı CC, Akpinar F, Kovaci H, et al. New interlocking intramedullary radius and ulna nails for treating forearm diaphyseal fractures in adults: a retrospective study. Injury. 2014;45(1):16–23.

    Article  Google Scholar 

  6. Kose A, Aydın A, Ezirmik N, Topal M, Can CE, Yılar S. Intramedullary nailing of adult isolated diaphyseal radius fractures. Ulus Travma Acil Cerrahi Derg. 2016;22(2):184–91.

    PubMed  Google Scholar 

  7. Müller ME, Algöwer M, Schneider R, Willenegger H. Manuel of internal fixation. 3rd ed. Berlin: Springer; 1991. p. 132–3.

    Book  Google Scholar 

  8. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Jt Surg Am. 1976;58(4):453–8.

    Article  CAS  Google Scholar 

  9. Anderson LD, Sisk D, Tooms RE, Park WI 3rd. Compression-plate fixation in acute diaphyseal fractures of the radius and ulna. J Bone Jt Surg Am. 1975;57(3):287–97.

    Article  CAS  Google Scholar 

  10. Ring D, Rhim R, Carpenter C, Jupiter JB. Isolated radial shaft fractures are more common than Galeazzi fractures. J Hand Surg Am. 2006;31(1):17–21.

    Article  Google Scholar 

  11. Mares O. Distal radioulnar joint instability. Hand Surg Rehabil. 2017;36(5):305–13.

    Article  CAS  Google Scholar 

  12. Grace TG, Eversmann WW Jr. Forearm fractures: treatment by rigid fixation with early motion. J Bone Jt Surg Am. 1980;62(3):433–8.

    Article  CAS  Google Scholar 

  13. Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996;29(6):602–8.

    Article  CAS  Google Scholar 

  14. Mikic ZD. Galeazzi fracture-dislocation. J Bone Jt Surg Am. 1975;57(8):1071–80.

    Article  CAS  Google Scholar 

  15. Reckling FW. Unstable fracture-dislocations of the forearm (Monteggia and Galeazzi lesions). J Bone Jt Surg Am. 1982;64(6):857–63.

    Article  CAS  Google Scholar 

  16. Moore TM, Klein JP, Patzakis MJ, Harvey JP Jr. Result of compression-plating of closed Galeazzi fractures. J Bone Jt Surg Am. 1985;67(7):1015–21.

    Article  CAS  Google Scholar 

  17. Rettig ME, Raskin KB. Galeazzi fracture-dislocation: a new treatment-oriented classification. J Hand Surg Am. 2001;26(2):228–35.

    Article  CAS  Google Scholar 

  18. Duijvenbode DC, Guitton TG, Raaymakers EL, Kloen P, Ring D. Long-term outcome of isolated diaphyseal radius fractures with and without dislocation of the distal radioulnar joint. J Hand Surg Am. 2012;37(3):523–7.

    Article  Google Scholar 

  19. Schemitsch EH, Richards RR. The effect of malunion on functional outcome after plate fixation of fractures of both bones of the forearm in adults. J Bone Jt Surg Am. 1992;74(7):1068–78.

    Article  CAS  Google Scholar 

  20. Sage FP. Medullary fixation of fractures of the forearm. A study of the medullary canal of the radius and a report of fifty fractures of the radius treated with a prebend triangular nail. J Bone Jt Surg Am. 1959;41:1489–516.

    Article  Google Scholar 

  21. Matthews LS, Kaufer H, Garver DF, Sonstegard DA. The effect on supination-pronation of angular malalignment of fractures of both bones of the forearm. J Bone Jt Surg Am. 1982;64(1):14–7.

    Article  CAS  Google Scholar 

  22. Lee SK, Kim KJ, Lee JW, Choy WS. Plate osteosynthesis versus intramedullary nailing for both forearm bones fractures. Eur J Orthop Surg Traumatol. 2014;24(5):769–76.

    Article  Google Scholar 

  23. Jones DB Jr, Kakar S. Adult diaphyseal forearm fractures: intramedullary nail versus plate fixation. J Hand Surg Am. 2011;36(7):1216–9.

    Article  Google Scholar 

  24. Deluca PA, Lindsey RW, Ruwe PA. Refracture of bones of the forearm after the removal of compression plates. J Bone Jt Surg Am. 1988;70(9):1372–6.

    Article  CAS  Google Scholar 

  25. Knight RA, Purvis GD. Fractures of both bones of the forearm in adults. J Bone Jt Surg Am. 1949;31(4):755–64.

    Article  Google Scholar 

  26. Fanuele J, Blazar P. Extensor pollicis tendon rupture in an adult after intramedullary nailing of a radius fracture: case report. J Hand Surg Am. 2009;34(4):627–9.

    Article  Google Scholar 

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Funding

The authors declare that this research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Clinics of Orthopaedics and Traumatology, Haydarpaşa Numune Training and Research Hospital, Tıbbiye Street, Selimiye District, no:23, 34668, Istanbul, Turkey

    Birkan Kibar

  2. Clinics of Orthopaedics and Traumatology, Kartal Dr.Lütfi Kırdar Training and Research Hospital, Cevizli District, Şemsi Denizer Street, Kartal, 34890, Istanbul, Turkey

    Tuhan Kurtulmuş

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  1. Birkan Kibar
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  2. Tuhan Kurtulmuş
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Contributions

BK and TH contributed to the design and development of the study and the collection, interpretation, and analysis of the data; the document was written by BK.

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Correspondence to Birkan Kibar.

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Kibar, B., Kurtulmuş, T. Comparison of new design locked intramedullary nails and plate osteosynthesis in adult isolated diaphyseal radius fractures. Eur J Trauma Emerg Surg 46, 1429–1435 (2020). https://doi.org/10.1007/s00068-019-01131-3

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  • DOI: https://doi.org/10.1007/s00068-019-01131-3

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