Factors Affecting Outcomes of Adult Forearm Fractures Treated by Locking Compression Plate
Aim: Although internal fixation of forearm fractures by dynamic compression plates had been studied extensively, the details of optimal fixation by locking compression plates are not clearly defined. Besides the factors affecting the functional outcome is still the subject of considerable debate. Th...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Istanbul Gelisim University Press
2018-08-01
|
| Series: | İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/pub/igusabder/issue/38973/429347 |
| _version_ | 1797917217212334080 |
|---|---|
| author | Bülent Özkurt Kubilay Uğurcan Ceritoğlu Burak Koçak Ali Utkan Aydın Arslan |
| author_facet | Bülent Özkurt Kubilay Uğurcan Ceritoğlu Burak Koçak Ali Utkan Aydın Arslan |
| author_sort | Bülent Özkurt |
| collection | DOAJ |
| description | Aim: Although internal fixation of forearm fractures by
dynamic compression plates had been studied extensively, the details of optimal
fixation by locking compression plates are not clearly defined. Besides the
factors affecting the functional outcome is still the subject of considerable
debate. The present study is designed to evaluate factors affecting the
outcomes of adult forearm fractures treated via locking compression plate.Method: The patients with Gustillo Anderson type 3 open
fractures or the ones treated in intensive care unit were excluded and
thirty-six forearm fractures treated by locking compression plate were
prospectively followed. Disability Arm Shoulder Hand (DASH) and Anderson criteria
scores for assessment of outcomes obtained at sixth month were evaluated. The patients were followed up for 4 (3-6)
years on average. Findings: In 18 (50%) patients, fractures were caused by simple
fall. The mean healing time of the fractures was 13.2 ± 2.1 weeks. Patients,
who smoked or had open fractures or complications, had longer healing time.
Mean DASH score was calculated as 13.9 ± 5.9. Upon presence of open fracture or postoperative complication there was a significant deterioration in scores.
Although the cause of the injury had some effect on functional results the
mechanism (whether the injury was direct or indirect) made no difference.
Conclusion: Fracture type was the most
important factor affecting both healing time and outcome. Being an open
fracture or the presence of postoperative complication deteriorates the
outcome. The functional results were somewhat poorer in fractures caused by
simple fall. |
| first_indexed | 2024-04-10T13:10:09Z |
| format | Article |
| id | doaj.art-24cc53fb29e84f47a38326dcc72f09c8 |
| institution | Directory Open Access Journal |
| issn | 2536-4499 2602-2605 |
| language | English |
| last_indexed | 2024-04-10T13:10:09Z |
| publishDate | 2018-08-01 |
| publisher | Istanbul Gelisim University Press |
| record_format | Article |
| series | İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi |
| spelling | doaj.art-24cc53fb29e84f47a38326dcc72f09c82023-02-15T16:12:40ZengIstanbul Gelisim University Pressİstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi2536-44992602-26052018-08-01546447810.38079/igusabder.429347155Factors Affecting Outcomes of Adult Forearm Fractures Treated by Locking Compression PlateBülent Özkurt0Kubilay Uğurcan Ceritoğlu1Burak Koçak2Ali Utkan3Aydın Arslan4UNIVERSITY OF HEALTH SCIENCESUNIVERSITY OF HEALTH SCIENCESUNIVERSITY OF HEALTH SCIENCESANKARA NUMUNE EĞİTİM VE ARAŞTIRMA HASTANESİİSTANBUL GELİŞİM ÜNİVERSİTESİAim: Although internal fixation of forearm fractures by dynamic compression plates had been studied extensively, the details of optimal fixation by locking compression plates are not clearly defined. Besides the factors affecting the functional outcome is still the subject of considerable debate. The present study is designed to evaluate factors affecting the outcomes of adult forearm fractures treated via locking compression plate.Method: The patients with Gustillo Anderson type 3 open fractures or the ones treated in intensive care unit were excluded and thirty-six forearm fractures treated by locking compression plate were prospectively followed. Disability Arm Shoulder Hand (DASH) and Anderson criteria scores for assessment of outcomes obtained at sixth month were evaluated. The patients were followed up for 4 (3-6) years on average. Findings: In 18 (50%) patients, fractures were caused by simple fall. The mean healing time of the fractures was 13.2 ± 2.1 weeks. Patients, who smoked or had open fractures or complications, had longer healing time. Mean DASH score was calculated as 13.9 ± 5.9. Upon presence of open fracture or postoperative complication there was a significant deterioration in scores. Although the cause of the injury had some effect on functional results the mechanism (whether the injury was direct or indirect) made no difference. Conclusion: Fracture type was the most important factor affecting both healing time and outcome. Being an open fracture or the presence of postoperative complication deteriorates the outcome. The functional results were somewhat poorer in fractures caused by simple fall.https://dergipark.org.tr/tr/pub/igusabder/issue/38973/429347önkol kırıklarıosteosentezkilitli kompresyon plağıforearm fractureosteosynthesislocking compression plate |
| spellingShingle | Bülent Özkurt Kubilay Uğurcan Ceritoğlu Burak Koçak Ali Utkan Aydın Arslan Factors Affecting Outcomes of Adult Forearm Fractures Treated by Locking Compression Plate İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi önkol kırıkları osteosentez kilitli kompresyon plağı forearm fracture osteosynthesis locking compression plate |
| title | Factors Affecting Outcomes of Adult Forearm Fractures Treated by Locking Compression Plate |
| title_full | Factors Affecting Outcomes of Adult Forearm Fractures Treated by Locking Compression Plate |
| title_fullStr | Factors Affecting Outcomes of Adult Forearm Fractures Treated by Locking Compression Plate |
| title_full_unstemmed | Factors Affecting Outcomes of Adult Forearm Fractures Treated by Locking Compression Plate |
| title_short | Factors Affecting Outcomes of Adult Forearm Fractures Treated by Locking Compression Plate |
| title_sort | factors affecting outcomes of adult forearm fractures treated by locking compression plate |
| topic | önkol kırıkları osteosentez kilitli kompresyon plağı forearm fracture osteosynthesis locking compression plate |
| url | https://dergipark.org.tr/tr/pub/igusabder/issue/38973/429347 |
| work_keys_str_mv | AT bulentozkurt factorsaffectingoutcomesofadultforearmfracturestreatedbylockingcompressionplate AT kubilayugurcanceritoglu factorsaffectingoutcomesofadultforearmfracturestreatedbylockingcompressionplate AT burakkocak factorsaffectingoutcomesofadultforearmfracturestreatedbylockingcompressionplate AT aliutkan factorsaffectingoutcomesofadultforearmfracturestreatedbylockingcompressionplate AT aydınarslan factorsaffectingoutcomesofadultforearmfracturestreatedbylockingcompressionplate |