Eklemi İçermeyen Mid-Distal Humerus Kırıklarının Tedavisinde İki Cerrahi Yöntemin Karşılaştırılması (Elastik çivi destekli eksternal fiksatör uygulaması ile plak-vida osteosentezi)

Abstract

Aim: The open reduction-plate method is frequently used in the surgical treatment of mid-distal humeral fractures. However, the radial nerve is always a major problem. In our study, we tried to present a surgical procedure that would eliminate this problem. For this reason, patients who were operated on for humeral mid-distal fractures in our hospital were investigated. Methods: We compared the elastic nail-supported external fixator after closed reduction with plate-screw osteosynthesis after open reduction. Group 1 (16) was divided into elastic nail supported external fixator, Group 2 (39) plate screw osteosynthesis. Groups were analyzed retrospectively. Results: While there was no delayed union and no neurological complications in group 1, three patients in group 2 had pseudoarthrosis and two patients had iatrogenic radial nerve deficit. Conclusion: There was no significant difference in union times and complication rates. However, in the method we defined; operative time, length of hospital stay were statistically significantly lower. We have also demonstrated further advantages of the technique we have described. These; protection of fracture hematoma, no incision scar, no plaster fixation, early rehabilitation, ease of removal of implants. Its disadvantage is that the fixator stays on the patient for about three months. We think that the method will become widespread when the advantages and disadvantages of this technique are evaluated by surgeons. A monolateral external fixator supported by an elastic nail can be used safely, successfully, and easily for the treatment of mid–distal humerus fractures that do not involve the joint.