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Egyptian Journal of Orthopedic Research
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El-Azab, H., Hassan Alsayed, M., S. Mosa, S., Elsayed, M. (2025). FIXATION OF DISPLACED DISTAL ULNA FRACTURES IN ADULTS BY FLEXIBLE INTRAMEDULLARY NAIL. Egyptian Journal of Orthopedic Research, 5(1), 37-42. doi: 10.21608/ejor.2024.418182
Hosam El-Azab; Mahmoud Hassan Alsayed; Shazly S. Mosa; Moustafa Elsayed. "FIXATION OF DISPLACED DISTAL ULNA FRACTURES IN ADULTS BY FLEXIBLE INTRAMEDULLARY NAIL". Egyptian Journal of Orthopedic Research, 5, 1, 2025, 37-42. doi: 10.21608/ejor.2024.418182
El-Azab, H., Hassan Alsayed, M., S. Mosa, S., Elsayed, M. (2025). 'FIXATION OF DISPLACED DISTAL ULNA FRACTURES IN ADULTS BY FLEXIBLE INTRAMEDULLARY NAIL', Egyptian Journal of Orthopedic Research, 5(1), pp. 37-42. doi: 10.21608/ejor.2024.418182
El-Azab, H., Hassan Alsayed, M., S. Mosa, S., Elsayed, M. FIXATION OF DISPLACED DISTAL ULNA FRACTURES IN ADULTS BY FLEXIBLE INTRAMEDULLARY NAIL. Egyptian Journal of Orthopedic Research, 2025; 5(1): 37-42. doi: 10.21608/ejor.2024.418182

FIXATION OF DISPLACED DISTAL ULNA FRACTURES IN ADULTS BY FLEXIBLE INTRAMEDULLARY NAIL

Article 5, Volume 5, Issue 1, March 2025, Page 37-42  XML PDF (328.29 K)
Document Type: Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations
DOI: 10.21608/ejor.2024.418182
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Authors
Hosam El-Azab; Mahmoud Hassan Alsayed; Shazly S. Mosa; Moustafa Elsayed
Orthopedic dept., Sohag Faculty of Medicine, Sohag, Egypt
Abstract
Background: A distal ulnar fracture that occurs alone is a rare injury. It frequently results from a direct
trauma to the ulnar border, which already has inadequate soft tissue. The purpose of this study was to
assess the clinical & radiological outcomes of using a flexible intramedullary nail to treat displaced distal
ulna fractures in adults. Methods: Prospective research included 20 adults with displaced distal ulna
fractures admitted in orthopedic department of Sohag University Hospital. Evaluation was done using
Grace & Eversmann rating system, VAS score & DASH score (Disabilities of the Arm, Shoulder, &
Hand). Results: Regarding the surgical outcomes; the operation time ranged from 52 to 127 min with a
mean time of 86.9 ± 16.8 mins. The time of consolidation ranged from 9 to 27 weeks with a mean of 16 ±
4.05 weeks. Regarding the complication, 5 (25%) patients had superficial infection, and 2 (10%) patients
had a nail back-out. Most patients experienced significant improvement in the Grace & Eversmann rating
system, with excellent outcomes observed at 6 months postoperatively. Conclusion: The use of flexible
intramedullary nails for fixation of displaced distal ulna fractures in adults yielded favorable clinical &
radiological outcomes. Keywords: Fixation, Distal Ulna, Ulna Fractures, Flexible Intramedullary Nail
Keywords
Ulnar fracture; Adults; Flexible nails; Intramedullary fixation
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