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

doi:10.5455/handmicrosurg.36294

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Original Article
Online Published: 02 Nov 2019

Hand Microsurg. 2019; 8(3): 139-150

doi: 10.5455/handmicrosurg.36294

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 Nicolls 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 Nicolls 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

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How to Cite this Article

Pubmed Style

Kose A, Topal M, Aydın A, Ezirmik N, Yıldırım 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, Aydın A, Ezirmik N, Yıldırım OS, Ayas MS, . Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing . https://handmicrosurgeryjournal.com/?mno=36294 [Access: September 12, 2024]. doi:10.5455/handmicrosurg.36294

AMA (American Medical Association) Style

Kose A, Topal M, Aydın A, Ezirmik N, Yıldırım 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, Aydın A, Ezirmik N, Yıldırım OS, Ayas MS, . Treatment of Radius or Ulna Diaphysis Atrophic Non-Unions with Corticocancellous Autograft and Intramedullary Nailing . Hand Microsurg. (2019), [cited September 12, 2024]; 8(3): 139-150. doi:10.5455/handmicrosurg.36294

Harvard Style

Kose, A., Topal, M., Aydın, A., Ezirmik, N. . ., Yıldırım, 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 Aydın, Naci Ezirmik, Omer Selim Yıldırım, 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 Aydın, Naci Ezirmik, Omer Selim Yıldırım, 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

APA (American Psychological Association) Style

Kose, A., Topal, M., Aydın, A., Ezirmik, N. . ., Yıldırım, 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

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About Hand and Microsurgery Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more. For best results, please use Internet Explorer or Google Chrome.	Contact Information