Matches in SemOpenAlex for { <https://semopenalex.org/work/W2071881857> ?p ?o ?g. }
- W2071881857 endingPage "8" @default.
- W2071881857 startingPage "403" @default.
- W2071881857 abstract "Postoperative axial deviations and delayed unions are possible complications after flexible intramedullary nailing (FIN). The goals of this study were to determine if a correlation exists between occurrence of the above complications and the ratio of the diameter between nail and medullary canal [nail diameter (ND)/MCD ratio], to study the interobserver variability in the measurement of MCD, and to define a threshold to be respected to optimize the results.Eighty-one consecutive diaphyseal fractures treated by means of FIN were evaluated. The ND/MCD ratios were determined by 2 independent observers. Axial deviations were defined as 5-degree angulation or more observed before bone union. Absence of bone union at 3 months was considered as delayed union. Statistical analysis was made for interobserver variability of MCD, dependency between occurrence of complications and ND/MCD ratio and eventual confounding variables (age, weight, sex, and fracture location).Of the 81 fractures, 14 presented with an axial deviation and 3 with a delayed union. Interobserver variability of MCD diameter was excellent (intraclass correlation: 0.96). Occurrence of the above complications was significantly associated with a low ND/MCD ratio (P=0.0002) but with none of the examined confounding variables. Receiver operating characteristic analysis showed absence of complications with a ND/MCD ratio >35% with a sensitivity of 100% and specificity of 89%. Related with the MCD measurements variability, a safe threshold of 40% can be suggested.In FIN, ND>40% to the MCD should be chosen to avoid complications, besides respecting the technical principles. Measuring the medullary canal diameter in order to choose correct nail size is reproducible between different observers. In adolescents with a medullary canal diameter of >10 mm in femur or tibia fractures, alternative methods of osteosynthesis than FIN should be considered.This work statistically confirms that a ND/MCD ratio of >40% must be respected to avoid some complications in FIN.Level III." @default.
- W2071881857 created "2016-06-24" @default.
- W2071881857 creator A5013099462 @default.
- W2071881857 creator A5025039431 @default.
- W2071881857 creator A5035351656 @default.
- W2071881857 creator A5046328884 @default.
- W2071881857 creator A5049211319 @default.
- W2071881857 creator A5082696068 @default.
- W2071881857 date "2013-06-01" @default.
- W2071881857 modified "2023-10-16" @default.
- W2071881857 title "Flexible intramedullary nailing in children: nail to medullary canal diameters optimal ratio." @default.
- W2071881857 cites W1968346445 @default.
- W2071881857 cites W1971239485 @default.
- W2071881857 cites W1983185189 @default.
- W2071881857 cites W1998580879 @default.
- W2071881857 cites W2001736629 @default.
- W2071881857 cites W2006269276 @default.
- W2071881857 cites W2024340180 @default.
- W2071881857 cites W2026519123 @default.
- W2071881857 cites W2043063015 @default.
- W2071881857 cites W2043469835 @default.
- W2071881857 cites W2053736548 @default.
- W2071881857 cites W2056914826 @default.
- W2071881857 cites W2104151218 @default.
- W2071881857 cites W2260068025 @default.
- W2071881857 cites W2264697794 @default.
- W2071881857 cites W2315033847 @default.
- W2071881857 cites W2315296037 @default.
- W2071881857 cites W2328534199 @default.
- W2071881857 cites W2336855772 @default.
- W2071881857 cites W4230880789 @default.
- W2071881857 cites W4242539761 @default.
- W2071881857 cites W4246599730 @default.
- W2071881857 doi "https://doi.org/10.1097/bpo.0b013e318285c54d" @default.
- W2071881857 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/23653030" @default.
- W2071881857 hasPublicationYear "2013" @default.
- W2071881857 type Work @default.
- W2071881857 sameAs 2071881857 @default.
- W2071881857 citedByCount "51" @default.
- W2071881857 countsByYear W20718818572012 @default.
- W2071881857 countsByYear W20718818572013 @default.
- W2071881857 countsByYear W20718818572014 @default.
- W2071881857 countsByYear W20718818572015 @default.
- W2071881857 countsByYear W20718818572016 @default.
- W2071881857 countsByYear W20718818572017 @default.
- W2071881857 countsByYear W20718818572018 @default.
- W2071881857 countsByYear W20718818572019 @default.
- W2071881857 countsByYear W20718818572020 @default.
- W2071881857 countsByYear W20718818572021 @default.
- W2071881857 countsByYear W20718818572022 @default.
- W2071881857 countsByYear W20718818572023 @default.
- W2071881857 crossrefType "journal-article" @default.
- W2071881857 hasAuthorship W2071881857A5013099462 @default.
- W2071881857 hasAuthorship W2071881857A5025039431 @default.
- W2071881857 hasAuthorship W2071881857A5035351656 @default.
- W2071881857 hasAuthorship W2071881857A5046328884 @default.
- W2071881857 hasAuthorship W2071881857A5049211319 @default.
- W2071881857 hasAuthorship W2071881857A5082696068 @default.
- W2071881857 hasConcept C104709138 @default.
- W2071881857 hasConcept C105702510 @default.
- W2071881857 hasConcept C126322002 @default.
- W2071881857 hasConcept C141071460 @default.
- W2071881857 hasConcept C171606756 @default.
- W2071881857 hasConcept C191897082 @default.
- W2071881857 hasConcept C192562407 @default.
- W2071881857 hasConcept C195121873 @default.
- W2071881857 hasConcept C2777852167 @default.
- W2071881857 hasConcept C2779330695 @default.
- W2071881857 hasConcept C29694066 @default.
- W2071881857 hasConcept C2989005 @default.
- W2071881857 hasConcept C3018917446 @default.
- W2071881857 hasConcept C44249647 @default.
- W2071881857 hasConcept C70410870 @default.
- W2071881857 hasConcept C71924100 @default.
- W2071881857 hasConcept C77350462 @default.
- W2071881857 hasConcept C92162645 @default.
- W2071881857 hasConceptScore W2071881857C104709138 @default.
- W2071881857 hasConceptScore W2071881857C105702510 @default.
- W2071881857 hasConceptScore W2071881857C126322002 @default.
- W2071881857 hasConceptScore W2071881857C141071460 @default.
- W2071881857 hasConceptScore W2071881857C171606756 @default.
- W2071881857 hasConceptScore W2071881857C191897082 @default.
- W2071881857 hasConceptScore W2071881857C192562407 @default.
- W2071881857 hasConceptScore W2071881857C195121873 @default.
- W2071881857 hasConceptScore W2071881857C2777852167 @default.
- W2071881857 hasConceptScore W2071881857C2779330695 @default.
- W2071881857 hasConceptScore W2071881857C29694066 @default.
- W2071881857 hasConceptScore W2071881857C2989005 @default.
- W2071881857 hasConceptScore W2071881857C3018917446 @default.
- W2071881857 hasConceptScore W2071881857C44249647 @default.
- W2071881857 hasConceptScore W2071881857C70410870 @default.
- W2071881857 hasConceptScore W2071881857C71924100 @default.
- W2071881857 hasConceptScore W2071881857C77350462 @default.
- W2071881857 hasConceptScore W2071881857C92162645 @default.
- W2071881857 hasIssue "4" @default.
- W2071881857 hasLocation W20718818571 @default.
- W2071881857 hasOpenAccess W2071881857 @default.
- W2071881857 hasPrimaryLocation W20718818571 @default.