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The Archives of Bone and Joint Surgery، جلد ۷، شماره ۱، صفحات ۰-۰
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عنوان انگلیسی The Role of Biplanar Distal Locking in Intramedullary Nailing of Tibial Shaft Fractures
چکیده انگلیسی مقاله 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 ::union::s 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.
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نویسندگان مقاله | Kadir Bahadır Alemdaroğlu
Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey


| Serkan İltar
Ankara Training and Research Hospital, University of Health Sciences, Ankara, Turkey


| Alper Ozturk
Diskapi Yildirim Beyazit Training and Research Hospital, University of Health Sciences, Ankara, Turkey


| Emre Gültaç
Faculty of Medicine, Muğla Sıtkı Koçman University, Ankara, Turkey


| Mehmet Yücens
Faculty of Medicine, Pamukkale University, Ankara, Turkey


| Nevres Hürriyet Aydoğan
Faculty of Medicine, Muğla Sıtkı Koçman University, Ankara, Turkey
نشانی اینترنتی http://abjs.mums.ac.ir/article_10310.html
فایل مقاله اشکال در دسترسی به فایل - ./files/site1/rds_journals/328/article-328-1153738.pdf
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده RESEARCH PAPER
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