3 ve 4 Parçalı Humerus Üst Uç Kırıklarının Kilitli Plak ile Tedavisinde Yaş, Cinsiyet ve Kırık Parça Sayısının İşlevsel Sonuçlara Etkisi

Authors : Yunus DEMİRTAŞ, Serdar YILMAZ, Alper DEVECİ, Murat GÜLÇEK, Özdamar Fuad ÖKEN, Ahmet Özgür YILDIRIM, Sualp TURAN, Ahmet UÇANER

Pages : 25-30

View : 39 | Download : 22

Publication Date : 2015-03-01

Article Type : Research Paper

Abstract :Purpose: We evaluated the relationship between age, fracture communition and the gender with the functional results in patients with three or four-part fractures of the proximal humerus treated with locking plate. Patients and Method: We retrospectively evaluated 36 patients who were treated with anatomic locking plate for comminuted proximal humeral fracture. The mean age of patients was 62.2 range 28-81 . There were 16 female, 20 male patients. 21 patients had three-part fractures, 15 patients had four-part fractures. The patients were divided into 2 groups as follows, below 60 years old as Group A and over 60 years as Group B. The patients were called for the last control to check the state of the fracture radiographically and clinically. The mean follow-up time was 31.1 months range 14-56 months . Mann-Whitney U test was performed to compare the functional state and age and the fracture comminution. Results: All of the patients had fracture union. Two patients had superficial infection healed with antibiotic treatment, 3 patients had partial avascular necrosis, 5 patients had varus malalignment, 2 patients had screw migration, 2 patients had impingement syndrome. The mean Constant score was 71.75±10,6 range 48-98 . The functional results of Group A was higher than Group B independent of fracture comminution p
Keywords : proximal humeral fracture, locking plate, osteopenia, complication, advanced age