The titanium elastic nail serves as an alternative treatment for adult proximal radial shaft fractures: a cohort study
Abstract Background To investigate whether closed reduction and internal fixation (CRIF) with titanium elastic nails (TENs) is a viable alternative treatment in proximal radial fractures. Methods In Kaohsiung Veterans General Hospital, from November 2013 to April 2015, five adult male patients with...
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doaj-b21801eda58e46f4803f296a1b1825852020-11-25T00:39:57ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2018-01-011311810.1186/s13018-017-0704-yThe titanium elastic nail serves as an alternative treatment for adult proximal radial shaft fractures: a cohort studyYing-Cheng Huang0Jenn-Huei Renn1Yih-Wen Tarng2Department of Orthopaedics, Kaohsiung Veterans General HospitalDepartment of Orthopaedics, Kaohsiung Veterans General HospitalDepartment of Orthopaedics, Kaohsiung Veterans General HospitalAbstract Background To investigate whether closed reduction and internal fixation (CRIF) with titanium elastic nails (TENs) is a viable alternative treatment in proximal radial fractures. Methods In Kaohsiung Veterans General Hospital, from November 2013 to April 2015, five adult male patients with forearm injuries (average age 43 years; range 35–64 years) were treated for proximal radial shaft fractures. CRIF with TENs for radial shaft fractures was performed in these five patients. Radiographs; range of motions; visual analog scale (VAS); quick disabilities of the arm, shoulder, and hand (Quick DASH) questionnaire; and time to union were evaluated in our study. Results Mean follow-up period was 30 months (range 28–36 months). Average time of radius union was 7.3 months (range 6–10 months). Functional outcomes 1 year after operation revealed an average Quick DASH score of 7.92 (range 4.5–25), an average VAS of 1.5 (range 1–3), and average forearm supination and pronation of 69.2° (range 45°–75°) and 82.5° (range 80°–85°). No major complication was noted. Conclusions CRIF with TEN for adult proximal radial fractures is a method to avoid extensive exposure or nerve injury during ORIF, especially in multiple trauma patients who require short operative time, uremia patients with ipsilateral forearm AV shunt, severe soft tissue swelling due to direct muscle contusion or strong muscularity before surgery, extensive radial fracture, and those in pursuit of cosmetic outcomes.http://link.springer.com/article/10.1186/s13018-017-0704-yProximal radial fractureTitanium elastic nailTENRadial intramedullary nailRadial interlocking nail |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ying-Cheng Huang Jenn-Huei Renn Yih-Wen Tarng |
spellingShingle |
Ying-Cheng Huang Jenn-Huei Renn Yih-Wen Tarng The titanium elastic nail serves as an alternative treatment for adult proximal radial shaft fractures: a cohort study Journal of Orthopaedic Surgery and Research Proximal radial fracture Titanium elastic nail TEN Radial intramedullary nail Radial interlocking nail |
author_facet |
Ying-Cheng Huang Jenn-Huei Renn Yih-Wen Tarng |
author_sort |
Ying-Cheng Huang |
title |
The titanium elastic nail serves as an alternative treatment for adult proximal radial shaft fractures: a cohort study |
title_short |
The titanium elastic nail serves as an alternative treatment for adult proximal radial shaft fractures: a cohort study |
title_full |
The titanium elastic nail serves as an alternative treatment for adult proximal radial shaft fractures: a cohort study |
title_fullStr |
The titanium elastic nail serves as an alternative treatment for adult proximal radial shaft fractures: a cohort study |
title_full_unstemmed |
The titanium elastic nail serves as an alternative treatment for adult proximal radial shaft fractures: a cohort study |
title_sort |
titanium elastic nail serves as an alternative treatment for adult proximal radial shaft fractures: a cohort study |
publisher |
BMC |
series |
Journal of Orthopaedic Surgery and Research |
issn |
1749-799X |
publishDate |
2018-01-01 |
description |
Abstract Background To investigate whether closed reduction and internal fixation (CRIF) with titanium elastic nails (TENs) is a viable alternative treatment in proximal radial fractures. Methods In Kaohsiung Veterans General Hospital, from November 2013 to April 2015, five adult male patients with forearm injuries (average age 43 years; range 35–64 years) were treated for proximal radial shaft fractures. CRIF with TENs for radial shaft fractures was performed in these five patients. Radiographs; range of motions; visual analog scale (VAS); quick disabilities of the arm, shoulder, and hand (Quick DASH) questionnaire; and time to union were evaluated in our study. Results Mean follow-up period was 30 months (range 28–36 months). Average time of radius union was 7.3 months (range 6–10 months). Functional outcomes 1 year after operation revealed an average Quick DASH score of 7.92 (range 4.5–25), an average VAS of 1.5 (range 1–3), and average forearm supination and pronation of 69.2° (range 45°–75°) and 82.5° (range 80°–85°). No major complication was noted. Conclusions CRIF with TEN for adult proximal radial fractures is a method to avoid extensive exposure or nerve injury during ORIF, especially in multiple trauma patients who require short operative time, uremia patients with ipsilateral forearm AV shunt, severe soft tissue swelling due to direct muscle contusion or strong muscularity before surgery, extensive radial fracture, and those in pursuit of cosmetic outcomes. |
topic |
Proximal radial fracture Titanium elastic nail TEN Radial intramedullary nail Radial interlocking nail |
url |
http://link.springer.com/article/10.1186/s13018-017-0704-y |
work_keys_str_mv |
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