We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Is There an Ideal Surgical Treatment for Adult Complex Distal Humerus Fractures?
- Authors
Uyar, Ahmet Çağrı; Kochai, Alauddin; Uysal, Mustafa; Akar, Abdülhalim; Özdemir, Uğur
- Abstract
Introduction: The purpose of this study is to compare the advantages and disadvantages of various surgical techniques in the treatment of distal humerus complex fractures. Materials and Methods: Seventy-one patients with distal humerus diaphysis fractures who were treated between 2015 and 2020 were retrospectively investigated. The patients were treated with the posterior approach of open reduction and plate-screw osteosynthesis (Group A), plated with the minimal invasive technique (Group B), operated 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 <0.001). The use of fluoroscopy was less in Group A. The length of stay in Group B was significantly shorter than for Group D (p <0.001). Union time was significantly longer for Groups B and D compared to Groups A and C (p <0.05). Shoulder abduction strength loss was higher in Group D (p <0.001). Conclusion: The fixation with the hybrid external fixator in cases in the distal area that makes plaque placement difficult and especially in multi-part humeral diaphysis fractures is a method that gives good functional results as well as other methods that can be used.
- Subjects
ORTHOPEDICS; INTERNAL fixation in fractures; FLUOROSCOPY; RADIOLOGY; RADIOGRAPHS
- Publication
Sakarya Tıp Dergisi, 2023, Vol 13, Issue 2, p305
- ISSN
2146-2585
- Publication type
Article
- DOI
10.31832/smj.1190747