{"title":"EARLY PREDICTORS OF NON-UNION OF DIAPHYSEAL TIBIAL FRACTURES BASED ON SCORING SYSTEMS.","authors":"F Umarov, J Samatov","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>The lack of standardization in the assessment of healing potential of diaphyseal tibial fractures in the early stages of treatment leads to late diagnosis of non-union, which requires the development of prognostic diagnostic criteria that take into account possible risk factors.</p><p><strong>Objective: </strong>To analyze and evaluate the available scoring systems for predicting union and non-union of diaphyseal tibial fractures.</p><p><strong>Methods: </strong>We searched for publications in Scopus (Elsevier), PubMed, Publons, Medline, RSCI, Google, and Google Scholar databases.</p><p><strong>Results: </strong>Six systems for predicting the risk of non-union of tibial fractures were analyzed, 4 of which included clinical and surgical risk factors for non-union. The advantage of the scoring systems is the identification of interventional thresholds for early detection of non-union.</p><p><strong>Conclusions: </strong>The Radiographic Union Scale for Tibia (RUST), the Tibia FRACTure prediction healING (FRACTING), the Leeds-Genoa Non-Union Index (LEG-NUT), and the Non-Union Scoring System (NUSS) are the most researched and recommended for clinical use. The Non-union Determination Score (NURD) and Tibial Fracture Healing Score (TFHS) systems require further evaluation.</p>","PeriodicalId":12610,"journal":{"name":"Georgian medical news","volume":" 355","pages":"174-183"},"PeriodicalIF":0.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Georgian medical news","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Introduction: The lack of standardization in the assessment of healing potential of diaphyseal tibial fractures in the early stages of treatment leads to late diagnosis of non-union, which requires the development of prognostic diagnostic criteria that take into account possible risk factors.
Objective: To analyze and evaluate the available scoring systems for predicting union and non-union of diaphyseal tibial fractures.
Methods: We searched for publications in Scopus (Elsevier), PubMed, Publons, Medline, RSCI, Google, and Google Scholar databases.
Results: Six systems for predicting the risk of non-union of tibial fractures were analyzed, 4 of which included clinical and surgical risk factors for non-union. The advantage of the scoring systems is the identification of interventional thresholds for early detection of non-union.
Conclusions: The Radiographic Union Scale for Tibia (RUST), the Tibia FRACTure prediction healING (FRACTING), the Leeds-Genoa Non-Union Index (LEG-NUT), and the Non-Union Scoring System (NUSS) are the most researched and recommended for clinical use. The Non-union Determination Score (NURD) and Tibial Fracture Healing Score (TFHS) systems require further evaluation.