{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:29:28Z","timestamp":1763465368476,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to evaluate the results of multifunctional intramedullary (IM) ulna nailing following diaphyseal fracture of the ulna. \\r\\nMethods: Adult patients with isolated fractures of the ulna treated with closed or mini-open reduction using the new IM ulna nail between May 2008 and January 2011 and who were followed for a least one year were retrospectively reviewed. Patients with a pathological fracture or nonunion after previous surgeries were excluded. Functional outcome was assessed using the Grace and Eversmann rating system, patient-reported outcomes using the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire. Wrist flexion and extension was evaluated using a goniometer.\\r\\nResults: The 18 patients (13 male, 5 female; mean age: 28 years, range: 18 to 64 years) had a total of 20 isolated ulna fractures (two bilateral). Mean time to fracture union was 13 (range: 10 to 14) weeks. No patient had nonunion, deep infection or radioulnar synostosis. Follow-up time ranged from 12 to 36 months. Grace and Eversmann ratings were excellent in 15 patients, good in 2 and poor in one. Mean DASH score was 8.08 (range: 0 to 17.5) points. \\r\\nConclusion: The new IM ulna nails may be considered an alternative method for isolated diaphyseal fractures of the ulna. Advantages of this method include its short operative time, insertion by closed and minimal invasive techniques, use of scope only in reduction and locking control, as well as minimal cosmetic defect, small operative scar and early mobilization without additional fixation.\n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fman\u0131n amac\u0131 ulna cisim k\u0131r\u0131klar\u0131 sonras\u0131 \u00e7ok fonksiyonlu intramed\u00fcller (\u0130M) ulna \u00e7ivi uygulamas\u0131n\u0131n sonu\u00e7lar\u0131n\u0131 de\u011ferlendirmekti.\\r\\n\u00c7al\u0131\u015fma plan\u0131: May\u0131s 2008 - Ocak 2011 tarihleri aras\u0131nda mini a\u00e7\u0131k veya kapal\u0131 red\u00fcksiyon ile yeni IM ulna \u00e7ivi uygulanan ve en az bir y\u0131l takip edilen eri\u015fkin izole ulna cisim k\u0131r\u0131\u011f\u0131 olan hastalar geriye d\u00f6n\u00fck olarak de\u011ferlendirildi. \u00d6nceden ge\u00e7irdikleri cerrahiler sonras\u0131 patolojik k\u0131r\u0131\u011f\u0131 veya kaynamama bulgusu olan hastalar de\u011ferlendirmeye al\u0131nmad\u0131. Fonksiyonel sonu\u00e7lar\u0131n de\u011ferlendirilmesinde Grace ve Eversmann derecelendirme sistemi ile Kol, Omuz ve El Sorunlar\u0131 (Disabilities of the Arm, Shoulder and Hand, DASH) anketi sonucu al\u0131nan hasta bildirimlerinden yararlan\u0131ld\u0131. Bilek fleksiyonu ve ekstansiyonu bir gonyometre ile de\u011ferlendirildi. \\r\\nBulgular: \u0130zole ulna cisim k\u0131r\u0131\u011f\u0131 olan 18 hastan\u0131n (13 erkek, 5 kad\u0131n; ortalama ya\u015f: 28, da\u011f\u0131l\u0131m: 18-64) 20 ulna k\u0131r\u0131\u011f\u0131 (2 olguda bilateral) geriye d\u00f6n\u00fck olarak de\u011ferlendirildi. Ortalama kaynama s\u00fcresi 13 (da\u011f\u0131l\u0131m: 10-14) hafta olarak \u00f6l\u00e7\u00fcld\u00fc. Hi\u00e7bir hastada kaynamama, derin enfeksiyon ya da radioulnar sinostoz g\u00f6r\u00fclmedi. Takip s\u00fcresi 12 ay ila 36 ay aras\u0131nda de\u011fi\u015fmekteydi. Grace ve Eversmann skoru 15 hastada m\u00fckemel, 2 hastada iyi ve bir hastada ise k\u00f6t\u00fc olarak de\u011ferlendirildi. Ortalama DASH skoru 8.08 (da\u011f\u0131l\u0131m: 0-17.5) puand\u0131.\\r\\n\u00c7\u0131kar\u0131mlar: Yeni \u0130M ulna \u00e7ivileri eri\u015fkin ulna cisim k\u0131r\u0131klar\u0131n\u0131n cerrahi tedavisinde bir alternatif olarak d\u00fc\u015f\u00fcn\u00fclebilir. Bu y\u00f6ntemim \u00fcst\u00fcnl\u00fcklerinden baz\u0131lar\u0131; operasyon s\u00fcresinin k\u0131sal\u0131\u011f\u0131, \u00e7o\u011funlukla kapal\u0131 y\u00f6ntemle ve minimal invaziv uygulanabilmesi ve yaln\u0131zca red\u00fcksiyon ve kilitlemenin kontrol\u00fc i\u00e7in skopi kullan\u0131lmas\u0131d\u0131r. Estetik kusurun olduk\u00e7a az olmas\u0131, k\u00fc\u00e7\u00fck ameliyat izi ve ameliyat sonras\u0131 ek tespite ihtiya\u00e7 duyulmaks\u0131z\u0131n erken harekete izin vermesi di\u011fer avantajlar\u0131 aras\u0131nda yer al\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2013.3021","type":"journal-article","created":{"date-parts":[[2013,9,20]],"date-time":"2013-09-20T06:07:16Z","timestamp":1379657236000},"page":"236-243","source":"Crossref","is-referenced-by-count":5,"title":["Interlocking intramedullary ulna nails in isolated ulna diaphyseal fractures: a retrospective study"],"prefix":"10.5152","volume":"47","author":[{"given":"Gursel","family":"Saka","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Necdet","family":"Saglam","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuhan","family":"Kurtulmus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Coskun","family":"Ozer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Meric","family":"Ugurlar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fuat","family":"Akpinar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2725\/2680","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:25:13Z","timestamp":1763465113000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2725"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2013,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2013.3021","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}