{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:59:30Z","timestamp":1763463570345,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: The aim of this study was to evaluate the results of interlocking intramedullary nailing in the treatment of extra-articular distal tibial fractures and nonunions.\\r\\nMethods: The study included 45 patients (mean age 42 years; range 27 to 52 years) who were treated with interlocking intramedullary nailing for distal tibial fractures (n=35) and nonunions (n=10). Of 35 fractures, 31 were closed and four were open. The fractures were AO A1 (n=27), A2 (n=6), and A3 (n=2). In addition, two patients had medial, and 14 patients had lateral malleolus fractures. A Gross-Kempf (Howmedica) nail was used in 38 patients and an Expert nail (Synthes) was used in seven patients. Dynamic nailing was performed in 22 patients and static nailing was performed in 23 patients. No grafting was used. The patients were assessed clinically and radiographically within a mean follow-up period of 37 months (range 24 to 60 months).\\r\\nResults: Union was achieved in all the patients within a mean of 4.6 months (range 3 to 7 months). Dynamization was required in three patients. The mean time to union was 4.4 months (range 3 to 6 months) with dynamic nailing and 4.8 months (range 3 to 7 months) with static nailing. Complications were not serious. Transient peroneal nerve palsy developed in one patient (2.2%). Knee pain was seen in four patients (8.9%) due to the protrusion of the nail and it disappeared after removal of the nail. Five patients (11.1%) had limitation of ankle movements in a range of 5 to 10 degrees. None of the patients had restriction in knee motion.\\r\\nConclusion: Intramedullary interlocking nailing is a reliable method of treatment for distal tibial fractures and nonunions, with a high rate of union and low complication rate.\n\n\u00d6zet\n\nAma\u00e7: Eklemi etkilemeyen distal tibia k\u0131r\u0131klar\u0131nda ve kaynamam\u0131\u015f k\u0131r\u0131klar\u0131n tedavisinde kilitli intramed\u00fcller \u00e7ivilemenin sonu\u00e7lar\u0131 geriye d\u00f6n\u00fck olarak de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya, distal tibia k\u0131r\u0131\u011f\u0131 (n=35) veya kaynamam\u0131\u015f k\u0131r\u0131k (n=10) nedeniyle kilitli intramed\u00fcller \u00e7ivileme ile tedavi edilen 45 hasta (ort. ya\u015f 42; da\u011f\u0131l\u0131m 27-52) al\u0131nd\u0131. K\u0131r\u0131klar\u0131n 31\u2019i kapal\u0131, d\u00f6rd\u00fc a\u00e7\u0131k k\u0131r\u0131k idi. AO s\u0131n\u0131flamas\u0131na g\u00f6re, 27 k\u0131r\u0131k A1, alt\u0131 k\u0131r\u0131k A2, iki k\u0131r\u0131k A3 idi. Ayr\u0131ca, iki hastada medial malleol, 14 hastada lateral malleol k\u0131r\u0131\u011f\u0131 vard\u0131. Tedavide 38 hastada Gross-Kempf (Howmedica) kilitli intramed\u00fcller \u00e7ivisi, yedi hastada Expert (Synthes) \u00e7ivisi kullan\u0131ld\u0131. Yirmi iki hastada dinamik \u00e7ivileme, 23 hastada statik \u00e7ivileme yap\u0131ld\u0131. Hi\u00e7bir hastada greft kullan\u0131lmad\u0131. Hastalar ortalama 37 ayl\u0131k (da\u011f\u0131l\u0131m 24-60 ay) takip s\u00fcresi i\u00e7inde klinik ve radyografik olarak de\u011ferlendirildi.\\r\\nSonu\u00e7lar: T\u00fcm hastalarda ortalama 4.6 ay i\u00e7inde (da\u011f\u0131l\u0131m 3-7 ay) kaynama elde edildi. \u00dc\u00e7 hastada kaynama i\u00e7in dinamizasyona ba\u015fvuruldu. Ortalama kaynama s\u00fcresi dinamik \u00e7ivileme uygulanan hastalarda 4.4 ay (da\u011f\u0131l\u0131m 3-6 ay), statik \u00e7ivileme uygulanan hastalarda 4.8 ay (da\u011f\u0131l\u0131m 3-7 ay) bulundu. Hi\u00e7bir hastada ciddi komplikasyon g\u00f6r\u00fclmedi. Bir hastada (%2.2) ge\u00e7ici peroneal sinir felci geli\u015fti. D\u00f6rt hastada (%8.9) \u00e7ivinin ta\u015fmas\u0131ndan dolay\u0131 ortaya \u00e7\u0131kan diz a\u011fr\u0131s\u0131 \u00e7ivinin \u00e7\u0131kar\u0131lmas\u0131ndan sonra kayboldu. Be\u015f hastada (%11.1) ayak bile\u011fi hareketinde 5-10 derece aras\u0131nda de\u011fi\u015fen azalma g\u00f6r\u00fcld\u00fc. Hi\u00e7bir hastada diz eklemi hareketlerinde s\u0131n\u0131rl\u0131l\u0131k geli\u015fmedi.\\r\\n\u00c7\u0131kar\u0131mlar: Kilitli intramed\u00fcller \u00e7ivileme, distal tibia k\u0131r\u0131klar\u0131 ve kaynamam\u0131\u015f k\u0131r\u0131klarda, kaynama oran\u0131 y\u00fcksek, komplikasyon oran\u0131 d\u00fc\u015f\u00fck g\u00fcvenilir bir tedavi y\u00f6ntemidir.<\/jats:p>","DOI":"10.3944\/aott.2009.472","type":"journal-article","created":{"date-parts":[[2010,2,3]],"date-time":"2010-02-03T15:23:57Z","timestamp":1265210637000},"page":"472-477","source":"Crossref","is-referenced-by-count":6,"title":["Evaluation of interlocking intramedullary nailing in distal tibial fractures and nonunions"],"prefix":"10.5152","volume":"43","author":[{"given":"Stamatios","family":"Paraschou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huseyin","family":"Bekir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helias","family":"Anastasopoulos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Athanasios","family":"Papapanos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John","family":"Alexopoulos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anestis","family":"Karanikolas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nick","family":"Roussis","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\/2320\/2277","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:05Z","timestamp":1763463425000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2320"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2009,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.472","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}