title: Intramedullary nailing of adult isolated diaphyseal radius fractures.
abstract: BACKGROUND
  The aim of the present study was to evaluate functional and cosmetic outcomes of adult patients who underwent intramedullary nailing with newly designed intramedullary radius nails for isolated radius diaphyseal fractures.
  
  
  METHODS
  Seventeen adult patients who had undergone intramedullary nailing for radius diaphyseal fractures were retrospectively evaluated. Patients with isolated radius diaphyseal closed fractures were included. Closed reduction was achieved in all patients. Wrist and elbow ranges of movement were calculated at final follow-up. Grip strength was calculated using a hydraulic hand dynamometer. Maximum radial bowing (MRB) and maximum radial bowing localization (MRBL) were calculated for treated and uninjured arms. Functional evaluation was performed using Grace-Eversman evaluation criteria and Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire score.
  
  
  RESULTS
  Of the 17 patients with isolated radius diaphyseal fractures evaluated, 11 (64.7%) were male and 6 (35.3%) were female, with a mean age of 35.76 years (range: 23-61 years). Fractures were right-sided in 11 (64.7%) and left-sided in 6 (35.3%) patients. Mean time to bone union was 10.2 weeks (range: 8-20 weeks). Mean supination was 75.35º (range: 67º-80º), pronation was 85.18º (range: 74º-90º). According to Grace-Eversman evaluation criteria, results were excellent in 16 (94%) and good in 1 (6%) patient. Mean DASH score was 12.58 (3.3-32.5).
  
  
  CONCLUSIONS
  The gold-standard treatment of adult isolated radius diaphyseal fractures is plate and screw osteosynthesis. However, intramedullary nailing of isolated radius fractures is a good alternative treatment method, with excellent functional results and union rates similar to those of plate and screw osteosynthesis.
authors.affiliation: Department of Orthopaedics and Traumatology, Horasan State Hospital, Erzurum-Turkey. kose.ahmet.46@hotmail.com.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Köse
authors.affiliation: Department of Orthopaedics and Traumatology, Atatürk University Faculty of Medicine, Erzurum-Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Aydın
authors.affiliation: Department of Orthopaedics and Traumatology, Atatürk University Faculty of Medicine, Erzurum-Turkey.
authors.forename: Naci
authors.initials: N
authors.lastname: Ezirmik
authors.affiliation: Department of Orthopaedics and Traumatology, Atatürk University Faculty of Medicine, Erzurum-Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Topal
authors.affiliation: Department of Orthopaedics and Traumatology, Çankırı State Hospital, Çankırı-Turkey.
authors.forename: Cahit Emre
authors.initials: CE
authors.lastname: Can
authors.affiliation: Department of Orthopaedics and Traumatology, Atatürk University Faculty of Medicine, Erzurum-Turkey.
authors.forename: Sinan
authors.initials: S
authors.lastname: Yılar
mesh_terms: D000328:Adult; D001858:Bone Nails; D018483:Diaphyses / Q000293:injuries* / Q000601:surgery; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011885:Radius Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology; D055815:Young Adult