[Comparison of 90° and 180° plate constructions for comminuted distal humerus fractures in adults, and effects on clinical results]. / Eriskin humerus alt uç eklem içi parçali kiriklarda 90° ve 180° plak uygulamalarinin karsilastirilmasi ve klinik sonuçlar üzerine etkisi.
Ulus Travma Acil Cerrahi Derg
; 22(4): 386-90, 2016 Jul.
Article
en Tr
| MEDLINE
| ID: mdl-27598613
ABSTRACT
BACKGROUND:
The present objective was to compare 90° and 180° double-plate constructions for complex distal humerus fractures, as well as to evaluate superiority of construction type.METHODS:
Retrospectively evaluated were 17 patients treated for type C distal humerus fracture according to AO/ASIF classification between January 2009 and January 2013. All attended minimum 6-month follow-up. Elbow function was assessed with anteroposterior and lateral x-ray, and Mayo elbow performance score evaluation at outpatient clinics.RESULTS:
Patient population included 14 males (82.3%) and 3 females (17.7%). Mean patient age was 40.5 years. According to AO/ASIF distal humerus classification, 3 (17.7%) type C1, 9 (52.9%) type C2, and 5 (29.4%) type C3 fractures were included. Six were open fractures (35.3%). According to Gustilo-Anderson classification, 4 (23.5%) fractures were type 1, and 2 (11.7%) were type 2. Construction performed was 90° in 11 cases (64.7%) and 180° in 6 cases (36.3%). Chevron osteotomy was performed in all cases. Mean follow-up period was 25.6 (6-52) months. Upon final examination, mean elbow flexion was 105º (85º-130º), and mean extension loss was 10º (0º-20º). According to Mayo elbow performance scoring system, 12 (70.5%) results were excellent, and 5 (29.5%) were good. No statistically significant clinical difference was found between 90° and 180° plate construction groups (p=0.169).DISCUSSION:
Surgeons should determine the construction type appropriate to individual cases of adult distal humerus type C fractures using preoperative x-rays and intraoperative means. Choice of construction type has particular importance in cases of lateral columnar fracture complexity. If no comminution is present in the lateral column, 90º double-plating leads to satisfactory outcome, while 180º plating leads to satisfactory outcome when comminution is present in the lateral column.
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Placas Óseas
/
Evaluación de Resultado en la Atención de Salud
/
Fracturas del Húmero
Tipo de estudio:
Observational_studies
Límite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
País/Región como asunto:
Asia
Idioma:
Tr
Revista:
Ulus Travma Acil Cerrahi Derg
Año:
2016
Tipo del documento:
Article