Erişkin distal humerus kompleks kırıklarında ideal cerrahi tedavi seçeneği var mı?

Author:

UYAR Amet Çağrı1ORCID,KOCHAİ Alauddin2ORCID,UYSAL Mustafa3ORCID,AKAR Abdülhalim4ORCID,ÖZDEMİR Uğur5ORCID

Affiliation:

1. SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, KOCAELİ DERİNCE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI

2. SAKARYA ÜNİVERSİTESİ, TIP FAKÜLTESİ, CERRAHİ TIP BİLİMLERİ BÖLÜMÜ, ORTOPEDİ VE TRAVMATOLOJİ ANABİLİM DALI

3. Medar Sakarya Hastanesi, Sakarya, Türkiye

4. Emsey Hastanesi Ortopedi ve Travmatoloji Kliniği

5. Simav. Doç. Dr. İsmail Karakuyu Devlet Hastanesi

Abstract

Objective: The aim of this study is to define the ideal surgical treatment option for distal humerus fractures by comparing different surgical techniques. Material and methods: Seventy-one patients with distal humerus diaphysis fractures who were treated between 2015 and 2020 were retrospectively investigated,. The patients were operated on with the posterior approach of open reduction and plate-screw osteosynthesis (Group A), plated with the minimal invasive technique (Group B), operated on using the lateral approach (Group C) and treated with an external fixator (Group D). Age, gender, mechanism of fracture, fracture type and AO class, applied surgical method, additional injuries, duration of operation, amount of bleeding, amount of fluoroscopy used, length of hospital stay, radiological angular values, union time, complications, and clinical examination findings of the patients were examined retrospectively and the differences between the mentioned surgical methods were investigated. Results: Blood loss was significantly less in Groups C and D (p

Publisher

Sakarya Tip Dergisi

Subject

General Computer Science

Reference30 articles.

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3. 3. Robinson CM, Hill RMF, Jacobs N, Dall G, Court-Brown CM. Adult distal humeral metaphyseal fractures: epidemiology and results of treatment. J Orthop Trauma 2003; 7 (1): 38-47.

4. 4. Sarmiento A, Zagorski JB, Zych GA, Latta LL, Capps CA. Functional bracing for the treatment of fractures of the humeral diaphysis. J Bone Joint Surg Am. 2000;82(4):478-486.

5. 5. Fears RL, Gleis GE, Seligson D. Diagnosis and treatment of complications: fractures of the diaphyseal humerus. In: Browner BD, Jupiter JB, Levine AM, Trafton PG, editors. Skeletal trauma: fractures, dislocations, ligamentous injuries. Toronto: WB Saunders; 1998. pp. 567–578.

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