Treatment of distal radius fractures by intramedullar nailing with Micronail®

Authors : Murat Calbıyık

Pages : 1-6

Doi:10.19127/mbsjohs.370968

View : 22 | Download : 12

Publication Date : 2018-04-20

Article Type : Research Paper

Abstract :Objective: Distal radius fractures are common fractures in the adult population. For treatment, intramedullary nailing has the advantage of providing effective internal fixation with minimum soft tissue damage. We aimed to present our experience with the use of intramedullary nailing device Micronail® insert ignore into journalissuearticles values(Wright Medical Technologies, Arlington, TN, USA); in the treatment of unstable extra-articular and simple intra-articular distal radius fractures. Methods: Forty-three patients insert ignore into journalissuearticles values(mean age 54.7±10.8 years; 54.7% women); with unstable extra-articular and simple intra-articular distal radius fractures suitable for closed reduction insert ignore into journalissuearticles values(A21, A2.2, A23, A3, C2.1);); were included in this retrospective study. Intramedullary distal radius fixation procedures were performed using Micronail® intramedullary nails in our clinic between February 2011 and January 2017. Clinical outcome measures were range of motion insert ignore into journalissuearticles values(ROM);; visual analog scale insert ignore into journalissuearticles values(VAS);; patient-reported Disabilities of the Arm, Shoulder and Hand [DASH] score; clinician-based Gartland–Werley score; radiographic Stewart score; radiographic parameters insert ignore into journalissuearticles values(radial inclination, volar tilt, radial height, radio-ulnar variance);, and complications. Results: The surgery lasted an average of 32.5±2.42 min. The mean postoperative follow-up duration was 31.4±5.8 weeks. Complete fracture union was obtained at 5.24±0.7 weeks. The postoperative VAS pain score was 2.4±1.2, which was remarkably low. The DASH score was 20±3.7, the Gartland–Werley score was 5.2±4.53, and the Stewart score was 1.7±1.4 on postoperative evaluation. ROM values were over 70° for all motions. Compared with the healthy side, the median loss in ROM was less than 17° for flexion, extension, pronation, and supination. In the postoperative radiological evaluations, there were significant increases in radial inclination insert ignore into journalissuearticles values(p=0.005);, volar tilt insert ignore into journalissuearticles values(p<0.001);, and radial height insert ignore into journalissuearticles values(p<0.001);, and a decrease in radio-ulnar variance insert ignore into journalissuearticles values(p=0.001); compared to the preoperative values. Thirty patients insert ignore into journalissuearticles values(69.8%); had no postoperative complications, remaining 13 patients experienced minor complications that were treated effectively. Conclusion: Intramedullar nailing with Micronail® is a minimally invasive technique, which provides effective and safe fixation of unstable extra-articular and simple intra-articular distal radius fractures.
Keywords : distal radius fractures, intramedullar nail, minimally invazive