1. Comparison Of Two Biological Internal Fixation Techniques In The Treatment Of Adult Femur Shaft Fractures (Plate - Screws and Locked Intramedullar Nail)
- Author
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Abdullah Küçükalp, Ertuğrul Köseoğlu, Sarp Bayyurt, Kemal Durak, Muhammed Sadık Bilgen, Uludağ Üniversitesi/Tıp Fakültesi/Ortopedi ve Travmatoloji Anabilim Dalı., Durak, Kemal, Bilgen, Muhammed Sadık, Küçükalp, Abdullah, and Bayyurt, Sarp
- Subjects
Male ,Subtrochanteric fractures ,medicine.medical_treatment ,Fracture union ,FEMUR SHAFT ,Injury ,Kilitli intramedüller çivi ,law.invention ,Femur shaft ,Intramedullary rod ,law ,Indirect reduction ,Fluoroscopy ,Unstable fractures ,Treatment outcome ,Fracture type ,medicine.diagnostic_test ,Osteosynthesis ,femur shaft fracture ,Plak ve vida ,Bone screw ,Distal femoral fractures ,Stabilization ,Liss ,plate and screws ,Intramedullary Nailing ,Femur Fracture ,Thighs ,Operation duration ,Emergency Medicine ,Female ,Infection ,Human ,Biyolojik içten tespit ,Adult ,medicine.medical_specialty ,Evolution ,Clinical article ,Group ii ,Article ,locked intramedullary nail ,Comminuted fracture ,Biological internal fixation ,medicine ,Internal fixation ,In patient ,Mortality ,Femur cisim kırığı ,Aged ,Intermethod comparison ,business.industry ,Bleeding ,Intramedullary nail ,Follow up ,Disease classification ,Surgery ,Outcome assessment ,Anesthesiology and Pain Medicine ,business ,Controlled study - Abstract
WOS: 000288968900012, PubMed: 21644095, BACKGROUND We aimed to compare two (plate-screws and locked intramedullary nail) biological internal fixation techniques in the treatment of adult femur shaft fractures. METHODS Group I included 28 patients operated with biological internal fixation with plate and screws. Group II consisted of 31 patients operated with locked intramedullary nailing technique. During the follow-up period in Group I, 1 patient died and 3 patients dropped out of the study, so the results of 24 patients were evaluated. During the follow-up period in Group II, 2 patients died and 3 patients dropped out of the study, so the results of 26 patients were evaluated in this group. RESULTS Age, sex, injury mechanism, fracture type, time to operation, duration of operation, amount of bleeding, fluoroscopy usage time, early and late complications, duration of hospitalization, fracture union time, and functional results of all patients were comparatively evaluated. CONCLUSION According to our results, no superiority of either technique was demonstrated with respect to fracture union time, complication rate and functional results. Biological internal fixation with plate and screws is an alternative technique to locked intramedullary nailing in patients with multi-trauma or compromised pulmonary or cardiac function, or in complex comminuted or segmented diaphyseal or metaphyseal fractures.
- Published
- 2011
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