- Sakarya Tıp Dergisi
- Vol: 13 Issue: 2
- Is there an ideal surgical treatment option for adult distal humerus complex fractures?
Is there an ideal surgical treatment option for adult distal humerus complex fractures?
Authors : Amet Çağrı Uyar, Alauddin Kochai, Mustafa Uysal, Abdülhalim Akar, Uğur Özdemir
Pages : 305-313
Doi:10.31832/smj.1190747
View : 17 | Download : 15
Publication Date : 2023-06-30
Article Type : Research Article
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 (Group A), plated with the minimal invasive technique (Group B), operated on using the lateral approach (Group C) and treated with an external fixator (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 (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 (p <0.001). Union time was significantly longer for Groups B and D compared to Groups A and C (p <0.05). Shoulder abduction strength loss was higher in Group D (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