The Role of Biplanar Distal Locking in Intramedullary Nailing of Tibial Shaft Fractures
نویسندگان
1 Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey
2 Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences, Ankara, Turkey
3 Faculty of Medicine, Muğla Sıtkı Koçman University, Ankara, Turkey
4 Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey
5 Faculty of Medicine, Pamukkale University, Ankara, Turkey
6 Faculty of Medicine, Muğla Sıtkı Koçman University, Ankara, Turkey
doi
10.22038/abjs.2017.17896.1458چکیده
Background: To compare the union times of the uncomplicated tibial shaft fractures, which were distally locked by twocoronal and one sagittal screws and by only two coronal screws.Methods: 45 patients with tibial shaft treated with intramedullary nailing included in this study. 23 of 45 fractureswere treated with uniplanar two distal interlocking (Group 1) and 22 fractures were treated with biplanar three distalinterlocking (Group 2). Patients with closed fractures treated by closed nailing and having a full set of radiographs onPACS system was included. Fracture unions were evaluated by two authors.Results: Union time was significantly shorter in biplanar distal interlocking group (Group 2) compared to uniplanardistal interlocking group (Group 1) (P=0.02). Mean union time in groups 1 and 2 were 14.63±4.5 and 10.77±3.0weeks, respectively .When only distal third tibial shaft fractures were evaluated, Group 2 [11.2±3.1 weeks (n:17)] hadsignificantly lower union time compared to Group 1 [15.07±4.8 weeks (n:14)] (P=0.01). Inter-observer reliability forfracture union times was high with rho= 0.89 with SE of 0.51 (P<0.001).Conclusion: Biplanar distal interlocking procedure had a significantly shorter union time. Biplanar distal interlockingprocedure allows a faster fracture union probably because of a more stable fixation construct.
