Department of Traumatology, Sestre milosrdnice University Hospital Center, Draškovićeva 19, Zagreb 10000, Croatia; University of Applied Health Sciences, Mlinarska 38, Zagreb 10000, Croatia.
Department of Traumatology, Sestre milosrdnice University Hospital Center, Draškovićeva 19, Zagreb 10000, Croatia.
Injury. 2021 Sep;52 Suppl 5:S44-S48. doi: 10.1016/j.injury.2020.11.012. Epub 2020 Nov 6.
The aim of this study was to evaluate the clinical and radiological results of adult forearm fractures treated with interlocking intramedullary nailing.
This retrospective study included 21 patients who were treated with intramedullary interlocking nailing for forearm fractures between January 2010 and September 2017. All patients were treated with intramedullary forearm nails designed to allow interfragmentary compression. The medical records and radiographs of all patients were evaluated. Fractures were classified according to the AO/OTA classification system by analyzing the radiographs. Union time, union rate, clinical outcome, and complications were evaluated.
Primary intramedullary osteosynthesis was performed in 17 patients with forearm shaft fractures. The average union time was 10 weeks (range, 8-16 weeks) in the primary osteosynthesis cohort. Secondary intramedullary osteosynthesis was performed in four patients following the removal of plates and screws due to nonunions. For this group of patients, bone union took an average of 17 weeks (range 8-24 weeks). The overall union rate was 95.24% in the 21 forearm fractures which were treated with an intramedullary interlocking nail with a compression screw that allows interfragmentary compression to be obtained. Overall complications included one nonunion, one postoperative rupture of the extensor pollicis longus tendon, and 1 postoperative transitory radial nerve palsy.
Intramedullary interlocking nailing with a compression screw is an alternative method of fixation for treating adult forearm fractures and provides good clinical outcomes with reliable union rates.
本研究旨在评估应用带锁髓内钉治疗成人前臂骨折的临床和影像学结果。
本回顾性研究纳入了 2010 年 1 月至 2017 年 9 月期间采用髓内交锁钉治疗的 21 例前臂骨折患者。所有患者均采用可实现断端间加压的髓内前臂钉进行治疗。评估所有患者的病历和影像学资料。通过分析影像学资料，根据 AO/OTA 分类系统对骨折进行分类。评估愈合时间、愈合率、临床结果和并发症。
17 例患者行单纯髓内固定治疗尺桡骨干骨折。在初次髓内固定组中，平均愈合时间为 10 周（8-16 周）。4 例患者因骨不连而在取出钢板和螺钉后行二次髓内固定。对于这组患者，平均愈合时间为 17 周（8-24 周）。采用可获得断端间加压的带锁髓内钉治疗的 21 例前臂骨折中，总体愈合率为 95.24%。总的并发症包括 1 例骨不连、1 例术后伸拇长肌腱断裂和 1 例术后短暂桡神经麻痹。
带锁髓内钉联合加压螺钉是治疗成人前臂骨折的一种替代固定方法，可获得良好的临床结果和可靠的愈合率。
