Bicolumnar 90–90 plating of AO 13C type fractures
Objective: The aim of this study was to evaluate functional results and complication rate of patients who underwent medial-dorsolateral plating for intra-articular distal humeral fracture (Müller AO type 13C). Methods: Twenty-four patients (14 men, 10 women; mean age: 47 years) with AO type 13C dist...
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| Format: | Article |
| Language: | English |
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AVES
2017-03-01
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| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X16304370 |
| _version_ | 1797919254832480256 |
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| author | Cemal Kural Ersin Ercin Mehmet Erkilinc Evren Karaali Mustafa Gokhan Bilgili Suleyman Altun |
| author_facet | Cemal Kural Ersin Ercin Mehmet Erkilinc Evren Karaali Mustafa Gokhan Bilgili Suleyman Altun |
| author_sort | Cemal Kural |
| collection | DOAJ |
| description | Objective: The aim of this study was to evaluate functional results and complication rate of patients who underwent medial-dorsolateral plating for intra-articular distal humeral fracture (Müller AO type 13C). Methods: Twenty-four patients (14 men, 10 women; mean age: 47 years) with AO type 13C distal humerus fracture were included in the study. Mean follow-up time was 28 months. Nine patients were in 13C1 subgroup, according to AO classification system, 11 patients were categorized as 13C2, and 4 patients were 13C3. Final follow-up assessment of outcomes included Broberg and Morrey radiological criteria; Mayo Elbow Performance Score, disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure, score based on Jupiter criteria; and range of motion (ROM) values. Results: The mean carrying angle of operated elbows was 11.37° (range: 0-20°). According to Broberg and Morrey radiological criteria, 14 patients, had radiologically normal elbow, 4 patients had mild change, 3 patients had moderate change, and 3 patients had severe radiological change. Mean DASH score was 21.91 (range: 0-50), and mean Mayo rating was 83.37 (range: 55-100). Jupiter criteria evaluation revealed excellent results in 10 cases, good in 12, and fair results in 2. One patient with fair result had open fracture, and the other had previous hemiparesis in the same extremity. There was no instance of nonunion observed at follow-up. Conclusion: Osteosynthesis with medial-dorsolateral plating is a safe and effective method for the treatment of intra-articular fractures of distal humerus. Level of evidence: Level IV, Therapeutic study. Keywords: Distal humerus, Fracture, Type C, Surgical treatment, Internal fixation |
| first_indexed | 2024-04-10T13:42:39Z |
| format | Article |
| id | doaj.art-a18ec9d173dd4782931e25126e69c6f2 |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T13:42:39Z |
| publishDate | 2017-03-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-a18ec9d173dd4782931e25126e69c6f22023-02-15T16:11:07ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2017-03-01512128132Bicolumnar 90–90 plating of AO 13C type fracturesCemal Kural0Ersin Ercin1Mehmet Erkilinc2Evren Karaali3Mustafa Gokhan Bilgili4Suleyman Altun5Corresponding author.; Bakırkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyBakırkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyBakırkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyBakırkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyBakırkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyBakırkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, TurkeyObjective: The aim of this study was to evaluate functional results and complication rate of patients who underwent medial-dorsolateral plating for intra-articular distal humeral fracture (Müller AO type 13C). Methods: Twenty-four patients (14 men, 10 women; mean age: 47 years) with AO type 13C distal humerus fracture were included in the study. Mean follow-up time was 28 months. Nine patients were in 13C1 subgroup, according to AO classification system, 11 patients were categorized as 13C2, and 4 patients were 13C3. Final follow-up assessment of outcomes included Broberg and Morrey radiological criteria; Mayo Elbow Performance Score, disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure, score based on Jupiter criteria; and range of motion (ROM) values. Results: The mean carrying angle of operated elbows was 11.37° (range: 0-20°). According to Broberg and Morrey radiological criteria, 14 patients, had radiologically normal elbow, 4 patients had mild change, 3 patients had moderate change, and 3 patients had severe radiological change. Mean DASH score was 21.91 (range: 0-50), and mean Mayo rating was 83.37 (range: 55-100). Jupiter criteria evaluation revealed excellent results in 10 cases, good in 12, and fair results in 2. One patient with fair result had open fracture, and the other had previous hemiparesis in the same extremity. There was no instance of nonunion observed at follow-up. Conclusion: Osteosynthesis with medial-dorsolateral plating is a safe and effective method for the treatment of intra-articular fractures of distal humerus. Level of evidence: Level IV, Therapeutic study. Keywords: Distal humerus, Fracture, Type C, Surgical treatment, Internal fixationhttp://www.sciencedirect.com/science/article/pii/S1017995X16304370 |
| spellingShingle | Cemal Kural Ersin Ercin Mehmet Erkilinc Evren Karaali Mustafa Gokhan Bilgili Suleyman Altun Bicolumnar 90–90 plating of AO 13C type fractures Acta Orthopaedica et Traumatologica Turcica |
| title | Bicolumnar 90–90 plating of AO 13C type fractures |
| title_full | Bicolumnar 90–90 plating of AO 13C type fractures |
| title_fullStr | Bicolumnar 90–90 plating of AO 13C type fractures |
| title_full_unstemmed | Bicolumnar 90–90 plating of AO 13C type fractures |
| title_short | Bicolumnar 90–90 plating of AO 13C type fractures |
| title_sort | bicolumnar 90 90 plating of ao 13c type fractures |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X16304370 |
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