Cargando…
Complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia
OBJECTIVES: Intramedullary nailing is the treatment of choice for fractures of the tibial shaft, which might necessitate the nail removal due to complications in the long-term. Although considered as a low-risk procedure, intramedullary nail removal is also associated with certain complications. Her...
Autores principales: | , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5767899/ https://www.ncbi.nlm.nih.gov/pubmed/29348913 http://dx.doi.org/10.1016/j.amsu.2017.12.012 |
_version_ | 1783292610683600896 |
---|---|
author | Seyhan, Mustafa Guler, Olcay Mahirogullari, Mahir Donmez, Ferdi Gereli, Arel Mutlu, Serhat |
author_facet | Seyhan, Mustafa Guler, Olcay Mahirogullari, Mahir Donmez, Ferdi Gereli, Arel Mutlu, Serhat |
author_sort | Seyhan, Mustafa |
collection | PubMed |
description | OBJECTIVES: Intramedullary nailing is the treatment of choice for fractures of the tibial shaft, which might necessitate the nail removal due to complications in the long-term. Although considered as a low-risk procedure, intramedullary nail removal is also associated with certain complications. Here, we compared the most commonly used stainless steel and titanium nails with respect to the complications during removal and clinical outcome for intramedullary nailing of diaphyseal fractures of the tibia. PATIENTS AND METHODS: Sixty-two patients (26 females, 36 males) were included in this retrospective study. Of the removed nails, 24 were of stainless steel and 38 of titanium. Preoperative and intraoperative parameters, such as implant discomfort, anterior knee pain, operating time and amount of bleeding, and postoperative outcomes were evaluated for each patient. RESULTS: Titanium nail group had more, but not statistically significant, intraoperative complications than stainless steel group during the removal of nails (p = .4498). Operating time and amount of intraoperative bleeding were significantly higher in titanium group than stainless steel group (p = .0306 and p < .001, respectively). Preoperative SF-36 physical component and KSS scores were significantly lower in patients who had removal of titanium nails than those of stainless steel nails, whereas there was no difference in terms of postoperative SF-36 and KSS scores. CONCLUSION: In conclusion, although greater bone contact with titanium increases implant stability, nail removal is more difficult, resulting in more longer surgical operation and more intraoperative bleeding. Therefore, we do not recommend titanium nail removal in asymptomatic patients. |
format | Online Article Text |
id | pubmed-5767899 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-57678992018-01-18 Complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia Seyhan, Mustafa Guler, Olcay Mahirogullari, Mahir Donmez, Ferdi Gereli, Arel Mutlu, Serhat Ann Med Surg (Lond) Original Research OBJECTIVES: Intramedullary nailing is the treatment of choice for fractures of the tibial shaft, which might necessitate the nail removal due to complications in the long-term. Although considered as a low-risk procedure, intramedullary nail removal is also associated with certain complications. Here, we compared the most commonly used stainless steel and titanium nails with respect to the complications during removal and clinical outcome for intramedullary nailing of diaphyseal fractures of the tibia. PATIENTS AND METHODS: Sixty-two patients (26 females, 36 males) were included in this retrospective study. Of the removed nails, 24 were of stainless steel and 38 of titanium. Preoperative and intraoperative parameters, such as implant discomfort, anterior knee pain, operating time and amount of bleeding, and postoperative outcomes were evaluated for each patient. RESULTS: Titanium nail group had more, but not statistically significant, intraoperative complications than stainless steel group during the removal of nails (p = .4498). Operating time and amount of intraoperative bleeding were significantly higher in titanium group than stainless steel group (p = .0306 and p < .001, respectively). Preoperative SF-36 physical component and KSS scores were significantly lower in patients who had removal of titanium nails than those of stainless steel nails, whereas there was no difference in terms of postoperative SF-36 and KSS scores. CONCLUSION: In conclusion, although greater bone contact with titanium increases implant stability, nail removal is more difficult, resulting in more longer surgical operation and more intraoperative bleeding. Therefore, we do not recommend titanium nail removal in asymptomatic patients. Elsevier 2018-01-09 /pmc/articles/PMC5767899/ /pubmed/29348913 http://dx.doi.org/10.1016/j.amsu.2017.12.012 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Seyhan, Mustafa Guler, Olcay Mahirogullari, Mahir Donmez, Ferdi Gereli, Arel Mutlu, Serhat Complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia |
title | Complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia |
title_full | Complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia |
title_fullStr | Complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia |
title_full_unstemmed | Complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia |
title_short | Complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia |
title_sort | complications during removal of stainless steel versus titanium nails used for intramedullary nailing of diaphyseal fractures of the tibia |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5767899/ https://www.ncbi.nlm.nih.gov/pubmed/29348913 http://dx.doi.org/10.1016/j.amsu.2017.12.012 |
work_keys_str_mv | AT seyhanmustafa complicationsduringremovalofstainlesssteelversustitaniumnailsusedforintramedullarynailingofdiaphysealfracturesofthetibia AT gulerolcay complicationsduringremovalofstainlesssteelversustitaniumnailsusedforintramedullarynailingofdiaphysealfracturesofthetibia AT mahirogullarimahir complicationsduringremovalofstainlesssteelversustitaniumnailsusedforintramedullarynailingofdiaphysealfracturesofthetibia AT donmezferdi complicationsduringremovalofstainlesssteelversustitaniumnailsusedforintramedullarynailingofdiaphysealfracturesofthetibia AT gereliarel complicationsduringremovalofstainlesssteelversustitaniumnailsusedforintramedullarynailingofdiaphysealfracturesofthetibia AT mutluserhat complicationsduringremovalofstainlesssteelversustitaniumnailsusedforintramedullarynailingofdiaphysealfracturesofthetibia |