Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements


Original Research (Original Article) 


Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing

Ahmet Köse, Murat Topal, Ali Aydın, Naci Ezirmik, Ömer Selim Yıldırım, Muhammet Salih Ayas.

Abstract
Objective: The purpose of this study was to present the functional and radiological results of tricortical cancellous iliac wing grafting and intramedullary nailing performed with the modified Nicoll’s method for the treatment of cases with radius or ulna atrophic non-union.
Methods: The study which is a retrospective clinical study, included 12 patients (8 ulnas, 4 radiuses) with atrophic non-union as a result of plate-screw osteosynthesis applied for a radius or ulna diaphyseal shaft fractures. Fixation was made with tricorticocancellous autograft and intramedullary nailing with the modified Nicoll's method. In the functional and radiological evaluation, a visual analog scale, grip strengths, the Grace-Eversmann scale and the DASH score were used. Forearm pronation and supination and elbow flexion and extension angles were evaluated with goniometer.
Results: The patients were comprised of 8 (66.7%) males and 4 (33.3%) females All the patients were followed up for mean 40.5 months (range, 12-84 months). Graft incorporation and remodeling was observed in all patients. According to the Grace-Eversmann scores, 9 patients were evaluated as excellent and 3 as good. Overall, the mean DASH score was 15.5 and the mean VAS score was 1.5. There were no complications about the donor site of the autogenous iliac graft.
Conclusion: In cases of isolated radius and ulna non-union with a bone defect (gap) of <2.5cm, the tricorticocancellous autografting and intramedullary nailing with a modified Nicoll’s method is a safe treatment method which provides more rigid fixation, does not require prolonged immobilization and allows early rehabilitation.

Key words: tricorticocancellous, intramedullar nailing, ulna, radius, nonunion


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Ahmet Köse
Articles by Murat Topal
Articles by Ali Aydın
Articles by Naci Ezirmik
Articles by Ömer Selim Yıldırım
Articles by Muhammet Salih Ayas
on Google
on Google Scholar
Article Statistics
 Viewed: 1904
Downloaded: 81


How to Cite this Article
Pubmed Style

Kose A, Topal M, Aydin A, Ezirmik N, Yildirim OS, Ayas MS, . Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing . Hand Microsurg. 2019; 8(3): 139-150. doi:10.5455/handmicrosurg.36294


Web Style

Kose A, Topal M, Aydin A, Ezirmik N, Yildirim OS, Ayas MS, . Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing . http://handmicrosurgeryjournal.com/?mno=36294 [Access: April 13, 2020]. doi:10.5455/handmicrosurg.36294


AMA (American Medical Association) Style

Kose A, Topal M, Aydin A, Ezirmik N, Yildirim OS, Ayas MS, . Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing . Hand Microsurg. 2019; 8(3): 139-150. doi:10.5455/handmicrosurg.36294



Vancouver/ICMJE Style

Kose A, Topal M, Aydin A, Ezirmik N, Yildirim OS, Ayas MS, . Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing . Hand Microsurg. (2019), [cited April 13, 2020]; 8(3): 139-150. doi:10.5455/handmicrosurg.36294



Harvard Style

Kose, A., Topal, M., Aydin, A., Ezirmik, N. . ., Yildirim, O. S., Ayas, M. S. & (2019) Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing . Hand Microsurg, 8 (3), 139-150. doi:10.5455/handmicrosurg.36294



Turabian Style

Kose, Ahmet, Murat Topal, Ali Aydin, Naci Ezirmik, Omer Selim Yildirim, Muhammet Salih Ayas, and . 2019. Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing . Hand and Microsurgery, 8 (3), 139-150. doi:10.5455/handmicrosurg.36294



Chicago Style

Kose, Ahmet, Murat Topal, Ali Aydin, Naci Ezirmik, Omer Selim Yildirim, Muhammet Salih Ayas, and . "Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing ." Hand and Microsurgery 8 (2019), 139-150. doi:10.5455/handmicrosurg.36294



MLA (The Modern Language Association) Style

Kose, Ahmet, Murat Topal, Ali Aydin, Naci Ezirmik, Omer Selim Yildirim, Muhammet Salih Ayas, and . "Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing ." Hand and Microsurgery 8.3 (2019), 139-150. Print. doi:10.5455/handmicrosurg.36294



APA (American Psychological Association) Style

Kose, A., Topal, M., Aydin, A., Ezirmik, N. . ., Yildirim, O. S., Ayas, M. S. & (2019) Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing . Hand and Microsurgery, 8 (3), 139-150. doi:10.5455/handmicrosurg.36294








AUTHOR LOGIN

REVIEWER LOGIN

Indexed
&
Abstracted


DOAJ (Directory of Open Access Journals)

EuroPub Database

Hinari (World Health Organization)

Ulakbim

ScopeMed

Google Scholar

WordCat

 

 


ABOUT JOURNAL
POLICIES
STATEMENTS

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.

The articles in Hand and Microsurgery are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.