Yıl: 2018 Cilt: 24 Sayı: 2 Sayfa Aralığı: 162 - 167 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results

Öz:
BACKGROUND: To investigate the outcomes of patients undergoing open reduction and internal fixation with olecranon osteotomy due to AO type13C fractures of the distal humerus.METHODS: Data of 39 patients (mean age, 44.7 years; males, 56.4%) undergoing surgery with the diagnosis of AO type 13C distal humeral fractures were retrospectively evaluated. Patients’ demographic characteristics, medical history, and radiological and functional outcomes were recorded. The patients were evaluated at the final follow-up according to the Mayo Elbow Performance Index (MEPI).RESULTS: The mean degrees of flexion and extension loss were 102.2 degrees (range, 60–120 degrees) and 11.4 degrees (range, 0–25 degrees), respectively, at the final follow-up. According to the MEPI score, outcomes were excellent in seven, good in 12, fair in 13, and poor in seven patients. All patients achieved a radiological union of the fracture site within the first postoperative six months. It was found that the loss of extension was more severe, the range of flexion was decreased, and the mean MEPI score was lower in the patients with type C3 fractures than in those with type C1 and type C2 fractures. No significant difference was determined between fixation techniques (tension band vs. cannulated screw) regarding the functional outcomes.CONCLUSION: Our results revealed better prognosis in AO type C1 and type C2 fractures than in AO type C3 fractures and no different effects of two fixation techniques in olecranon osteotomy on the outcomes
Anahtar Kelime:

Konular: Cerrahi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Pollock JW, Faber KJ, Athwal GS. Distal humerus fractures. Orthop Clin North Am 2008;39:187–200.
  • 2. Kocaoglu M, Şener N, Şar C, Hamzaoglu A, Tuncay İ. Intraarticular fractures of the distal humerus in the adult: Surgical treatment and results. Joint Dis Rel Surg 1999;10:149–54.
  • 3. Chan K, King GJ, Faber KJ. Treatment of complex elbow fracture-dislocations. Curr Rev Musculoskelet Med 2016;9:185–9.
  • 4. Nauth A, McKee MD, Ristevski B, Hall J, Schemitsch EH. Distal humeral fractures in adults. J Bone Joint Surg Am 2011;93:686–700.
  • 5. Holdsworth BJ. Humerus: distal. In: Ruedi TP, Murphy WM, editors. AO Principles of Fracture Management. Stuttgart New York: Thieme; 2000. p. 307–21.
  • 6. Gustilo RB, Anderson JT. Prevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg Am 1976;58:453–8.
  • 7. Morrey BF, An KN. Functional evaluation of the elbow. In: Morrey BF, editor. The Elbow and Its Disorders. 3rd ed. Philadelphia: WB Saunders; 2000. p. 82.
  • 8. O’Driscoll SW. Optimizing stability in distal humeral fracture fixation. J Shoulder Elbow Surg 2005;14:186S–94S.
  • 9. Bégué T. Articular fractures of the distal humerus. Orthop Traumatol Surg Res 2014;100:S55–63.
  • 10. Lee DH. Treatment options for complex elbow fracture dislocations. Injury 2001;32 Suppl 4:SD41–69.
  • 11. Flinkkilä T, Toimela J, Sirniö K, Leppilahti J. Results of parallel plate fixation of comminuted intra-articular distal humeral fractures. J Shoulder Elbow Surg 2014;23:701–7.
  • 12. Sanchez-Sotelo J, Torchia ME, O’driscoll SW. Principle-based internal fixation of distal humerus fractures. Tech Hand Up Extrem Surg 2001;5:179–87.
  • 13. Babhulkar S, Babhulkar S. Controversies in the management of intra-articular fractures of distal humerus in adults. Indian J Orthop 2011;45:216–25.
  • 14. Min W, Ding BC, Tejwani NC. Comparative functional outcome of AO/ OTA type C distal humerus fractures: open injuries do worse than closed fractures. J Trauma Acute Care Surg 2012;72:E27–32.
  • 15. Ozdemir H, Urgüden M, Söyüncü Y, Aslan T. Long-term functional results of adult intra-articular distal humeral fractures treated by open reduction and plate osteosynthesis. Acta Orthop Traumatol Turc 2002;36:328–35.
  • 16. Claessen FM, Braun Y, van Leeuwen WF, Dyer GS, van den Bekerom MP, Ring D. What Factors are Associated With a Surgical Site Infection After Operative Treatment of an Elbow Fracture? Clin Orthop Relat Res 2016;474:562–70.
  • 17. Mardanpour K, Rahbar M. Open reduction and internal fixation of intraarticular fractures of the humerus: evaluation of 33 cases. Trauma Mon 2013;17:396–400.
  • 18. Wang KC, Shih HN, Hsu KY, Shih CH. Intercondylar fractures of the distal humerus: routine anterior subcutaneous transposition of the ulnar nerve in a posterior operative approach. J Trauma 1994;36:770–3.
  • 19. Englert C, Zellner J, Koller M, Nerlich M, Lenich A. Elbow dislocations: a review ranging from soft tissue injuries to complex elbow fracture dislocations. Adv Orthop 2013;2013:951397.
  • 20. Schmidt-Horlohé KH, Bonk A, Wilde P, Becker L, Hoffmann R. Promising results after the treatment of simple and complex distal humerus type C fractures by angular-stable double-plate osteosynthesis. Orthop Traumatol Surg Res 2013;99:531–41.
  • 21. Gallay SH, McKee MD. Operative treatment of nonunions about the elbow. Clin Orthop Relat Res 2000:87–101.
  • 22. Wong AS, Baratz ME. Elbow fractures: distal humerus. J Hand Surg Am 2009;34:176–90.
APA ASFUROĞLU Z, İNAN U, ÖMEROĞLU H (2018). Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results. , 162 - 167.
Chicago ASFUROĞLU ZEYNEL MERT,İNAN Ulukan,ÖMEROĞLU Hakan Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results. (2018): 162 - 167.
MLA ASFUROĞLU ZEYNEL MERT,İNAN Ulukan,ÖMEROĞLU Hakan Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results. , 2018, ss.162 - 167.
AMA ASFUROĞLU Z,İNAN U,ÖMEROĞLU H Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results. . 2018; 162 - 167.
Vancouver ASFUROĞLU Z,İNAN U,ÖMEROĞLU H Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results. . 2018; 162 - 167.
IEEE ASFUROĞLU Z,İNAN U,ÖMEROĞLU H "Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results." , ss.162 - 167, 2018.
ISNAD ASFUROĞLU, ZEYNEL MERT vd. "Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results". (2018), 162-167.
APA ASFUROĞLU Z, İNAN U, ÖMEROĞLU H (2018). Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results. Ulusal Travma ve Acil Cerrahi Dergisi, 24(2), 162 - 167.
Chicago ASFUROĞLU ZEYNEL MERT,İNAN Ulukan,ÖMEROĞLU Hakan Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results. Ulusal Travma ve Acil Cerrahi Dergisi 24, no.2 (2018): 162 - 167.
MLA ASFUROĞLU ZEYNEL MERT,İNAN Ulukan,ÖMEROĞLU Hakan Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results. Ulusal Travma ve Acil Cerrahi Dergisi, vol.24, no.2, 2018, ss.162 - 167.
AMA ASFUROĞLU Z,İNAN U,ÖMEROĞLU H Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(2): 162 - 167.
Vancouver ASFUROĞLU Z,İNAN U,ÖMEROĞLU H Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(2): 162 - 167.
IEEE ASFUROĞLU Z,İNAN U,ÖMEROĞLU H "Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results." Ulusal Travma ve Acil Cerrahi Dergisi, 24, ss.162 - 167, 2018.
ISNAD ASFUROĞLU, ZEYNEL MERT vd. "Open reduction and internal fixation in AO type C distal humeral fractures using olecranon osteotomy: Functional and clinical results". Ulusal Travma ve Acil Cerrahi Dergisi 24/2 (2018), 162-167.