Is there an ideal surgical treatment option for adult distal humerus complex fractures?

Authors : Amet Çağrı UYAR, Alauddin KOCHAİ, Mustafa UYSAL, Abdülhalim AKAR, Uğur ÖZDEMİR

Pages : 305-313

Doi:10.31832/smj.1190747

View : 121 | Download : 23

Publication Date : 2023-06-30

Article Type : Research Paper

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 insert ignore into journalissuearticles values(Group A);, plated with the minimal invasive technique insert ignore into journalissuearticles values(Group B);, operated on using the lateral approach insert ignore into journalissuearticles values(Group C); and treated with an external fixator insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(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 insert ignore into journalissuearticles values(p <0.001);. Union time was significantly longer for Groups B and D compared to Groups A and C insert ignore into journalissuearticles values(p <0.05);. Shoulder abduction strength loss was higher in Group D insert ignore into journalissuearticles values(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.
Keywords : humerus kırığı, diyafiz, diaphysis

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