Inci Fatih, Yildirim Ahmet Ozgur, Ciliz Deniz Sözmen, Kocak Cahit, Ceyhan Erman, Öken Özdamar Fuad
Acta Orthop Belg. 2018 Dec;84(4):461-468.
The intraoperative determination of rotation in closed intramedullar nailing of tibial fractures is difficult. In this study, a more reliable method was used and it was a more practical means of checking rotation intra-operatively for tibia diaphysis fractures. 42 patients who presented with a unilateral tibia diaphyseal fracture. were randomly divided into two groups. In Group 1, the Intraoperative Rotation Control Method (IRCM) was used and compared with Group 2 as the control group. The Delta Rotation obtained from the MRI measurements were recorded and the Mean Delta Rotation (MDR) was obtained for each group separately. Malrotation was determined at a statistically significantly lower rate in Group 1. The MDR was statistically significantly lower in Group 1. This method does not require exposure to radiation like other radiological methods. Thus, the method used can be considered to be effective in the prevention of malrotation.
在闭合髓内钉治疗胫骨骨折时，术中确定旋转情况较为困难。在本研究中，采用了一种更可靠的方法，这是一种在胫骨骨干骨折术中检查旋转情况更实用的手段。42例单侧胫骨骨干骨折患者被随机分为两组。第1组采用术中旋转控制方法（IRCM），并与作为对照组的第2组进行比较。记录通过MRI测量获得的旋转差值，并分别计算每组的平均旋转差值（MDR）。第1组中旋转不良的发生率在统计学上显著更低。第1组的MDR在统计学上显著更低。该方法不像其他放射学方法那样需要暴露于辐射。因此，所采用的方法可被认为在预防旋转不良方面是有效的。
