{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T17:20:21Z","timestamp":1778692821723,"version":"3.51.4"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated the results of reamed and locked intramedullary nailing for tibial diaphysis fractures.\\r\\nMethods: The study included 73 patients (68 males, 5 females; mean age 31 years; range 17 to 68 years) who were treated with reamed and locked intramedullary nailing for tibial diaphysis fractures. There were 28 AO\/ASIF type A, 29 type B, and 16 type C fractures. The fractures involved the proximal 1\/3 (n=12), middle 1\/3 (n=50), and distal 1\/3 (n=11) of the tibial diaphysis. Twenty-eight fractures (38.4%) were closed. According to the Gustilo-Anderson classification, 30 patients (%41.1) had grade I, 10 patients (%13.7) had grade II, and five patients (%6.9) had grade IIIA open fractures. Intramedullary nailing was performed following open reduction in 17 patients (23.3%), and closed reduction in 56 patients (76.7%). The mean time to surgery was 3.4 days (range 2 to 11 days) and the mean follow-up was 48 months (range 24 to 60 months). The patients were evaluated with respect to range of motion, time to union, and complications. Functional results were assessed using the Johner-Wrush criteria.\\r\\nResults: Union was achieved in all the patients within a mean of 18.2 weeks (range 8 to 52 weeks). Four patients required dynamization because of delayed union and grafting was performed in one patient. Transient sensorial deficit occurred in one patient after dynamization. One patient underwent revision surgery because of migration of the distal locking screws. The only limitation of range of motion was seen in flexion of two patients (2.7%) who developed anterior knee pain. According to the Johner-Wrush criteria, functional results were very good in 45 patients (61.6%), and good in 28 patients (38.4%).\\r\\nConclusion: Treatment of tibial diaphysis fractures with reamed and locked intramedullary nailing is an appropriate choice with a low complication rate. It can be safely used in moderately contaminated open fractures.\n\n\u00d6zet\n\nAma\u00e7: Tibia diyafiz k\u0131r\u0131klar\u0131n\u0131n oymal\u0131 kilitli intramed\u00fcller \u00e7ivi ile tedavi sonu\u00e7lar\u0131 de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya, tibia cisim k\u0131r\u0131\u011f\u0131 nedeniyle oymal\u0131 kilitli intramed\u00fcller \u00e7ivi ile tedavi edilen 73 eri\u015fkin hasta (68 erkek, 5 kad\u0131n; ort. ya\u015f 31; da\u011f\u0131l\u0131m 17-68) al\u0131nd\u0131. AO\/ASIF s\u0131n\u0131flamas\u0131na g\u00f6re, 28 k\u0131r\u0131k tip A, 29 k\u0131r\u0131k tip B, 16 k\u0131r\u0131k tip C olarak de\u011ferlendirildi. K\u0131r\u0131klar, 12 hastada 1\/3 proksimal, 50 hastada 1\/3 orta, 11 hastada 1\/3 distal diyafiz seviyesinde idi. Yirmi sekiz hastada (%38.4) kapal\u0131 k\u0131r\u0131k vard\u0131. Gustilo-Anderson s\u0131n\u0131flamas\u0131na g\u00f6re, 30 hastada (%41.1) derece I, 10 hastada (%13.7) derece II, be\u015f hastada (%6.9) derece IIIA a\u00e7\u0131k k\u0131r\u0131k vard\u0131. On yedi hastada (%23.3) a\u00e7\u0131k, 56 hastada (%76.7) kapal\u0131 red\u00fcksiyonu takiben \u00e7ivileme yap\u0131ld\u0131. K\u0131r\u0131k olu\u015fumu ile ameliyat aras\u0131nda ge\u00e7en s\u00fcre ortalama 3.4 g\u00fcn (da\u011f\u0131l\u0131m 2-11 g\u00fcn); ortalama takip s\u00fcresi 48 ay (da\u011f\u0131l\u0131m 24-60 ay) idi. Hastalar hareket a\u00e7\u0131kl\u0131\u011f\u0131, kaynama s\u00fcresi ve komplikasyonlar a\u00e7\u0131s\u0131ndan de\u011ferlendirildi. Fonksiyonel de\u011ferlendirmede Johner-Wrush \u00f6l\u00e7\u00fctleri kullan\u0131ld\u0131.\\r\\nSonu\u00e7lar: T\u00fcm hastalarda ortalama 18.2 haftada (da\u011f\u0131l\u0131m 8-52 hafta) kaynama elde edildi. D\u00f6rt olguya kaynama gecikmesi nedeniyle dinamizasyon uyguland\u0131. Bir hastaya grefonaj uyguland\u0131. Dinamizasyon uygulanan bir hastada ge\u00e7ici duyu kayb\u0131 geli\u015fti. Bir olguda radyografik kontrollerde distal kilit vidalar\u0131n\u0131n \u00e7ivi d\u0131\u015f\u0131nda g\u00f6r\u00fclmesi \u00fczerine revizyon uyguland\u0131. Diz \u00f6n a\u011fr\u0131s\u0131 geli\u015fen iki hastada (%2.7) sadece fleksiyon k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 g\u00f6r\u00fcl\u00fcrken, di\u011fer hastalarda hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131na rastlanmad\u0131. Johner-Wrush \u00f6l\u00e7\u00fctlerine g\u00f6re, 45 olguda (%61.6) \u00e7ok iyi, 28 olguda (%38.4) iyi sonu\u00e7 elde edildi.\\r\\n\u00c7\u0131kar\u0131mlar: Tibia diyafiz k\u0131r\u0131klar\u0131nda oymal\u0131 kilitli intramed\u00fcller \u00e7ivi tedavisi, komplikasyon oran\u0131 d\u00fc\u015f\u00fck, uygun bir tedavi se\u00e7ene\u011fidir. Kontaminasyonu fazla olmayan a\u00e7\u0131k k\u0131r\u0131klarda g\u00fcvenle uygulanabilir.<\/jats:p>","DOI":"10.3944\/aott.2009.007","type":"journal-article","created":{"date-parts":[[2009,3,18]],"date-time":"2009-03-18T10:27:50Z","timestamp":1237372070000},"page":"7-13","source":"Crossref","is-referenced-by-count":10,"title":["Treatment of adult tibial diaphysis fractures with reamed and locked intramedullary nailing"],"prefix":"10.5152","volume":"43","author":[{"given":"Halil","family":"Burc","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhsin","family":"Dursun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haldun","family":"Orhun","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volkan","family":"Gurkan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Volkan","family":"Gurkan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilhan","family":"Bayhan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":".","family":".","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2232\/2189","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:00:50Z","timestamp":1763463650000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2232"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2009,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.007","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}