Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO)

Bagir, Melih; deveci, mehmet ali; Bicer, Omer; Kundakçı, Buğra; Huri, Gazi; Mirioğlu, Akif; TEKIN, MUSTAFA

doi:10.17826/cumj.1030704

Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO)

Buğra KUNDAKÇI, (Çukurova Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalı, Adana, Türkiye)

Ömer Sunkar BİÇER, (Çukurova Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalı, Adana, Türkiye)

Gazi HURİ, (Hacettepe Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalı, Ankara, Türkiye)

Mustafa TEKİN, (Çukurova Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalı, Adana, Türkiye)

Melih BAĞIR, (Çukurova Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalı, Adana, Türkiye)

Mehmet Ali DEVECİ, (Koç Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalı, İstanbul, Türkiye)

Akif MİRİOĞLU (Çukurova Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Ana Bilim Dalı, Adana, Türkiye)

Cukurova Medical Journal

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Yıl: 2022 Cilt: 47 Sayı: 2 Sayfa Aralığı: 555 - 562 Metin Dili: Türkçe DOI: 10.17826/cumj.1030704 İndeks Tarihi: 29-07-2022

Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO)

Öz:

Amaç: Kliniğimizde minimal invaziv perkütan plak osteosentezi (MIPPO) ile tedavi edilen humerus cisim kırıklarının radyolojik ve fonksiyonel sonuçlarının değerlendirilmesi amaçlanmıştır. Gereç ve Yöntem: MIPPO ile tedavi edilen 20 hastanın 21 humerus cisim kırığına ait verileri retrospektif olarak değerlendirildi. Hastaların demografik verileri, yaralanma şekilleri, AO sınıflaması ve bölgesine göre kırık sınıflaması, sigara kullanımı, radial sinir yaralanması kaydedildi. Radyografik olarak 6. ayda kaynama durumu ve dizilim değerlendirildi. Hastaların son kontrollerinde omuz ve dirsek hareket açıklığı ile objektif, Amerikan Omuz ve Dirsek Derneği (ASES) skoru, California Üniversitesi Los Angeles (UCLA) skoru, Mayo dirsek performans indeksi (MEPI), Kol Omuz El Engellilik (DASH) skoru ve Constant omuz skoru ile subjektif değerlendirme yapıldı. Bulgular: Hastaların ortalama omuz fleksiyonu 169,5°±26,4°, abdüksiyonu 169,5°±26,4° idi. Ortalama dirsek hareket arkı 131,4°±19,8° bulundu. Ortalama ASES ve UCLA skorları sırasıyla 88,5±16,4 ve 32,1±5,2, MEPI ve DASH skoru sırasıyla 93,1±11,3 ve 11,8±20,0, ortalama Constant skoru 9,1±15,3 bulundu. İki hastada 6. ayda kaynamama gözlendi. Sonuç: MIPPO yöntemi humerus cisim kırıklarının tedavisinde; minimal yumuşak doku hasarı, korunmuş omuz ve dirsek fonksiyonları ile başarılı bir tekniktir.

Anahtar Kelime: Minimal invaziv cerrahi işlemler Humerus kırıkları Kırık sabitlemesi

Minimal invasive percutaneous plate osteosynthesis (MIPPO) in humeral shaft fractures

Öz:

Purpose: We aimed to evaluate the radiological and functional results of humeral shaft fractures treated with minimally invasive percutaneous plate osteosynthesis (MIPPO) in our clinic. Materials and Methods: Data of 21 humeral shaft fractures of 20 patients treated with MIPPO were evaluated retrospectively. Demographic data, type of injury, fracture classification according to AO classification and fracture location, smoking, radial nerve injury were recorded. Radiographically, the union at 6th month and alignment were evaluated. Objective results were evaluated in terms of shoulder and elbow range of motion. Subjective results were assessed by the American Shoulder and Elbow Society Score (ASES), University of California, Los Angles (UCLA) score, Mayo Elbow Performance Index (MEPI), the Disability of The Arm, Shoulder and Hand (DASH) Score and Constant Shoulder Score. Results: The average elbow motion was 131.4° ± 19.8°. The mean ASES and UCLA scores were 88.5 ± 16.4 and 32.1 ± 5.2, respectively. The mean MEPI and DASH scores were 93.1 ± 11.3 and 11.8 ± 20.0, respectively, and the Constant score was mean 9.1 ± 15.3. Nonunion was observed in two patient at 6th month. Conclusion: We believe that MIPPO is a successful technique for the treatment of humeral shaft fractures with minimal soft tissue damage, intact shoulder and elbow motion function.

Anahtar Kelime: Humeral Fractures

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Kundakçı B, Bicer O, Huri G, TEKIN M, Bagir M, deveci m, Mirioğlu A (2022). Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO). , 555 - 562. 10.17826/cumj.1030704
Chicago	Kundakçı Buğra,Bicer Omer,Huri Gazi,TEKIN MUSTAFA,Bagir Melih,deveci mehmet ali,Mirioğlu Akif Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO). (2022): 555 - 562. 10.17826/cumj.1030704
MLA	Kundakçı Buğra,Bicer Omer,Huri Gazi,TEKIN MUSTAFA,Bagir Melih,deveci mehmet ali,Mirioğlu Akif Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO). , 2022, ss.555 - 562. 10.17826/cumj.1030704
AMA	Kundakçı B,Bicer O,Huri G,TEKIN M,Bagir M,deveci m,Mirioğlu A Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO). . 2022; 555 - 562. 10.17826/cumj.1030704
Vancouver	Kundakçı B,Bicer O,Huri G,TEKIN M,Bagir M,deveci m,Mirioğlu A Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO). . 2022; 555 - 562. 10.17826/cumj.1030704
IEEE	Kundakçı B,Bicer O,Huri G,TEKIN M,Bagir M,deveci m,Mirioğlu A "Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO)." , ss.555 - 562, 2022. 10.17826/cumj.1030704
ISNAD	Kundakçı, Buğra vd. "Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO)". (2022), 555-562. https://doi.org/10.17826/cumj.1030704

APA	Kundakçı B, Bicer O, Huri G, TEKIN M, Bagir M, deveci m, Mirioğlu A (2022). Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO). Cukurova Medical Journal, 47(2), 555 - 562. 10.17826/cumj.1030704
Chicago	Kundakçı Buğra,Bicer Omer,Huri Gazi,TEKIN MUSTAFA,Bagir Melih,deveci mehmet ali,Mirioğlu Akif Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO). Cukurova Medical Journal 47, no.2 (2022): 555 - 562. 10.17826/cumj.1030704
MLA	Kundakçı Buğra,Bicer Omer,Huri Gazi,TEKIN MUSTAFA,Bagir Melih,deveci mehmet ali,Mirioğlu Akif Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO). Cukurova Medical Journal, vol.47, no.2, 2022, ss.555 - 562. 10.17826/cumj.1030704
AMA	Kundakçı B,Bicer O,Huri G,TEKIN M,Bagir M,deveci m,Mirioğlu A Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO). Cukurova Medical Journal. 2022; 47(2): 555 - 562. 10.17826/cumj.1030704
Vancouver	Kundakçı B,Bicer O,Huri G,TEKIN M,Bagir M,deveci m,Mirioğlu A Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO). Cukurova Medical Journal. 2022; 47(2): 555 - 562. 10.17826/cumj.1030704
IEEE	Kundakçı B,Bicer O,Huri G,TEKIN M,Bagir M,deveci m,Mirioğlu A "Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO)." Cukurova Medical Journal, 47, ss.555 - 562, 2022. 10.17826/cumj.1030704
ISNAD	Kundakçı, Buğra vd. "Humerus cisim kırıklarında minimal invaziv perkütan plak osteosentezi (MIPPO)". Cukurova Medical Journal 47/2 (2022), 555-562. https://doi.org/10.17826/cumj.1030704