BELHAN, Oktay Fırat Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, TÜRKİYE , KARAKURT, Lokman Fırat Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, TÜRKİYE , GÜRGER, Murat Fırat Üniversitesi - Tıp Fakültesi - Ortopedi ve Travmatoloji Anabilim Dalı, TÜRKİYE

Evaulation of Outcomes of Various Surgical Treatments in Patients with Distal Tibial Fracture

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Objective : To compare the clinical and radiological outcomes in cases that underwent “Locked Intramedullar Nailing (LIN)”, “Ender Nailing (EN)” and “Ilizarov Circular Eksternal Fixation (ICEF)” due to distal diaphyseal tibial fracture. Material and Methods : Forty-three patients receiving LIN (n=15), EN (n=10) and ICEF(n=18) due to distal tibial fracture were investigated retrospectively. In present study, fusion time of fracture, functional outcomes and complications were evaluated. Results: The mean time to union was 12.7 weeks (10-16) in patients treated with LIN. Excellent or good results were present in 14 patients and moderate result was achived in one patient. The mean time to union was 15 weeks (2-18) in patients treated with EN. Excellent or good results were achived in 8 patients, and moderate results were achieved in two patients. The mean time to union was 23.5 weeks (17-28) in patients treated with ICEF. The excellent or good results were achived in the 13 of 18 patients, and a moderate result was achieved in the 5 of them. Conclusion: We concluded that LIN is a more successful method than EN and ICEF methods in the treatment of distal diaphyseal fractures of tibia. When the results of EN and ICEF methods considered, we also concluded that ICEF is an alternative treatment method for open fractures not suitable to LIN, especially. We believe that EN is a more effective technic than ICEF in patients with closed fracture.

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Distal tibial diaphyseal fracture , surgical treatment.

Fırat University Medical Journal Of Health Sciences

59