Med Bull Sisli Etfal Hosp. 2023; 57(1): 118-123 | DOI: 10.14744/SEMB.2022.11129
What Would be the Difference Between Operative Treatment of Patients with Tibia Fractures out of Working Hours; Intramedullary Nailing for Tibial Shaft Fractures
Mehmet Selcuk Saygili1, Ali Cagri Tekin1, Tugrul Ergun2, Baris Ozkul3, Deniz Akbulut4, Mustafa Alper Incesoy5, Bilal Demir31Department of Orthopedics and Traumatology, Prof. Dr. Cemil Taşçıoğlu City Hospital, İstanbul, Türkiye
2Department of Orthopedics and Traumatology, İstinye University Faculty of Medicine, İstanbul, Türkiye
3Department of Orthopedics and Traumatology, Üniversity of Health Sciences Türkiye, Metin Sabanci Baltalimani Bone Diseases Training and Research Hospital, Istanbul, Türkiye
4Department of Orthopedics and Traumatology, Van Akdamar Hospital, Van, Türkiye
5Department of Orthopedics and Traumatology, University of Health Sciences Türkiye, Adiyaman Training and Research Hospital, Adiyaman, Türkiye
Objectives: Performing orthopedic surgery in and out of working hours may affect the success of the surgery. Timing of surgery in tibial shaft fractures is controversial. In this study, the effect of the timing of surgery on the success and complications of intramedullary nailing of tibial fractures is examined.Keywords:
Methods: Archieves of patients with tibial shaft fractures treated with reamed intramedullary nails between 2010 and 2016 were retrospectively analyzed. Fifty-seven patients were included in the study. Patients were categorized by the time of the surgery. Day time (Group I) is between 7: 00 am and 5: 00 pm and after hour (Group II) is between 5: 00 pm and 07: 00 am. Group I (n: 40) and Group II (n: 17) were evaluated. Technical errors, surgery time, and length of hospital stay statistical analysis was performed between the two groups in terms of technical errors, complication rates, length of hospital stay, and duration of surgery.
Results: The mean duration of operation (p=0.419), number of distal screws (p=0.847), time to union (p=0.454), experience of the surgeon (p=0.192), and technical error rate (p=0.654) did not differ significantly between two groups. Length of hospital stay and time to surgery from emergency were significantly higher in day time group.
Conclusion: Technical errors and surgery time of intramedullary nailing of tibial shaft fractures are not higher at after hour before midnight than day time. Non-urgent tibial shaft fractures might be treated with intramedullary nailing at after hours before midnight for efficient use of hospitals.
Intramedullary nailing, Tibial shaft fracture, Time of day, Time of surgery
Mehmet Selcuk Saygili1, Ali Cagri Tekin1, Tugrul Ergun2, Baris Ozkul3, Deniz Akbulut4, Mustafa Alper Incesoy5, Bilal Demir31Prof. Dr. Cemil Taşçıoğlu Şehir Hastanesi, Ortopedi ve Travmatoloji Bölümü, İstanbul
2İstinye Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul
3Türkiye Sağlık Bilimleri Üniversitesi, Metin Sabancı Baltalimani Kemik Hastalıkları Eğitim ve Araştırma Hastanesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul
4Van Akdamar Hastanesi, Ortopedi ve Travmatoloji Bölümü, Van
5Türkiye Sağlık Bilimleri Üniversitesi Adıyaman Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Anabilim Dalı, Adiyaman
Mehmet Selcuk Saygili, Ali Cagri Tekin, Tugrul Ergun, Baris Ozkul, Deniz Akbulut, Mustafa Alper Incesoy, Bilal Demir. What Would be the Difference Between Operative Treatment of Patients with Tibia Fractures out of Working Hours; Intramedullary Nailing for Tibial Shaft Fractures. Med Bull Sisli Etfal Hosp. 2023; 57(1): 118-123
Corresponding Author: Ali Cagri Tekin
Manuscript Language: English