Effect of distal locking type on radiological results of proximal femoral nails used in the surgical treatment of hip fractures

Basit Öğe Kaydı
dc.authoriddavut, serkan/0000-0003-3871-786X
dc.contributor.authorDavut, Serkan
dc.date.accessioned2024-09-18T20:26:44Z
dc.date.available2024-09-18T20:26:44Z
dc.date.issued2022
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractPurpose: The aim of our study is to obtain data that will shed light on the effect of the distal locking type of proximal femoral nails (PFN) on fracture healing, causes of general complications, especially those in the distal of the nails, and reduction of possible complication rates. Materials and Methods: Patients who underwent surgery with the diagnosis of trochanteric hip fracture between 01.01.2015 and 01.01.2020 and completed the second year follow-up time were examined from the medical records. Patients were grouped first according to AO/OTA subtypes (Three groups as AO A1, A2 and A3), then grouped according to distal locking type (Two groups as group 1: dynamic, group 2: static distal locking with 2 screws). The fracture type, healing status, fracture healing time, complication rates and reoperation because of complication development data were evaluated. Results: 339 patients enrolled in the study [189 women, 150 men, mean age: 76.24 (60-102) years]. The overall complication rate was 15.6%. AO A3 type fractures had long fracture healing times in each distal locking group compared to the other fracture sub-types. AO A3 type fractures had more frequent complication rates than the other subtype groups. AO A3 type fractures in group 2 had higher overall complication rates than in group 1. There was a significant correlation between group 1 and lag screw cut-out complication occurrence in females and between group 2 and pseudoarthrosis occurrence in males. In addition, there was a statistically significant relationship between the AO fracture sub-type and total rate of complication occurrence, AO A2 fracture type and lag screw cut-out complication occurrence and AO A3 fracture type and pseudoarthrosis complication occurrence. Conclusion: Patients with AO/OTA 31 A3 type fractures with static distal locking have a longer fracture healing time and a higher complication rate compared to dynamic locking. However, dynamic or static distal locking is not associated with other implant-related complications, especially those in the distal to the tip of PFN's.en_US
dc.identifier.doi10.17826/cumj.1118552
dc.identifier.endpage1358en_US
dc.identifier.issn2602-3032
dc.identifier.issn2602-3040
dc.identifier.issue3en_US
dc.identifier.startpage1350en_US
dc.identifier.trdizinid1122243en_US
dc.identifier.urihttps://doi.org/10.17826/cumj.1118552
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/1122243
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10511
dc.identifier.volume47en_US
dc.identifier.wosWOS:000889635700048en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.language.isoenen_US
dc.publisherCukurova Univ, Fac Medicineen_US
dc.relation.ispartofCukurova Medical Journalen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHip fractureen_US
dc.subjectproximal femoral nailen_US
dc.subjectdistal lockingen_US
dc.subjectcomplicationsen_US
dc.titleEffect of distal locking type on radiological results of proximal femoral nails used in the surgical treatment of hip fracturesen_US
dc.typeArticleen_US

Dosyalar

Orijinal paket
Listeleniyor 1 - 1 / 1
Küçük Resim
İsim:
Tam Metin / Full Text
Boyut:
356.31 KB
Biçim:
Adobe Portable Document Format
İndir

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
TR-Dizin İndeksli Yayınlar Koleksiyonu