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Erişkin Tip C Distal Humerus Kırıklarına Olekranon Osteotomisi ve Paralel Plak Uygulamasının Orta Dönem Sonuçları
2018
Journal:  
Acta Medica Alanya
Author:  
Abstract:

Amaç: Bu çalışmanın amacı AO tip C distal humerus kırığı tanısıyla cerrahi tedavi uygulanan erişkin hastanın orta dönem sonuçlarını değerlendirmektir.  Hastalar ve Yöntem: Geriye dönük çalışmamızda, AO tip C distal humerus kırığı tanılı 20 hastaya (12 kadın, 8 erkek, ortalama yaş 44.3) posterior yaklaşım ile olekranon chevron tipi osteotomi ve Paralel Plak Vidayla tespit uygulandı. Olguların ortalama izlem süresi 74 aydı (56-94 ay). Olguların son kontrollerinde hareket aralığı ölçümü, Mayo Elbow Performance Score (MEPS) ve the Disabilities of the Arm Shoulder and Hand (DASH) score ile fonksiyonel değerlendirme yapıldı.  Bulgular: MEPS ile değerlendirmede kategorik olarak; 6 olgu çok iyi, 10 olgu iyi, 2 olgu orta, 2 olgu kötü sonuç olarak belirlendi. Hastaların hareket aralığına bakıldığında ortalama fleksiyon 125.3°, ortalama ekstansiyon kaybı ise 13.8° idi. Hastaların %75’inde hareket açıklığı, fonksiyonel hareket açıklığı olarak kabul edilen 30°-130° veya üzerindeydi. DASH anketine göre ortalama skor 7.2 olarak belirlendi. Radyolojik olarak orta dönemde hiçbir hastada dirsekte artroz bulgusu ve implant gevşemesi tespit edilmedi.  Sonuç: AO tip C distal humerus kırıklarında olekranon osteotomisi ve paralel plak vida ile tespitin kabul edilebilir bir cerrahi teknik olduğu söylenebilir. 

Keywords:

Adult Type C Distal Humerus Breaks of Olekranon Osteotomy and Parallel Plaque Application
2018
Journal:  
Acta Medica Alanya
Author:  
Abstract:

Purpose: The purpose of this study is to evaluate the mid-term results of an adult patient with a diagnosis of AO type C distal humerus fractures with surgery.  Patients and Method: In our backward study, AO type C distal humerus fractures were diagnosed in 20 patients (12 women, 8 men, an average age of 44.3) with posterior approach, and the diagnosis was applied with olecranon chevron type osteotomy and Paralel Plak Viday. The average observation period of cases was 74 months (56-94 months). The results were based on the Mayo Elbow Performance Score (MEPS) and the Disabilities of the Arm Shoulder and Hand (DASH).  Results: Categorically with MEPS; 6 facts are very good, 10 facts are good, 2 facts are medium, 2 facts are bad. The patient’s movement range was 125.3 degrees and the average extension loss 13.8 degrees. In 75% of patients, the openness of movement was 30°-130° or greater than the functional openness of movement. According to the DASH survey, the average score was 7.2. Radiologically, in the middle period, no patient found arthrosis in the rectum and implant relief.  The result: AO type C distal humerus fractures can be said to be an acceptable surgical technique for the detection with olecranon osteotomy and parallel plaque vida.

Keywords:

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Acta Medica Alanya

Field :   Sağlık Bilimleri

Journal Type :   Uluslararası

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Acta Medica Alanya