Results of Plate Osteosynthesis with Deltopectoral Approach for Proximal Humerus Fractures

Tarık Altunkılıç

Makale detayları

Results of Plate Osteosynthesis with Deltopectoral Approach for Proximal Humerus Fractures

Yazarlar:

Tarık Altunkılıç

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 3, pp.249-254

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292821

pISSN:

2602-3741

Anahtar kelimeler:

Özet:

 ABSTRACT Aim: The aim of this study was to evaluate the functional and radiological results of patients who underwent plate osteosynthesis with the deltopectoral approach in proximal humerus fractures, according to the intact shoulder. Materials and Methods: Our study included 33 patients who underwent proximal humeral anatomic locking plate with deltopectoral approach due to proximal humeral fracture PHF between 2015 and 2017. Patients over 18 years of age, with closed humeral fractures, and with intact contralateral humerus and shoulder were included in our retrospective study. The functional results between the operated and healthy sides of the patients were evaluated by comparing the Constant-Murley score and radiological results with the full anteroposterior radiography and the collodiaphyseal angles. Results: According to the Constant Murley scoring categorical data structure of the patients, the operated side was 6.1 n2 poor, 6.1 n2 moderate, 39.4 n13 good, 48.5 n16 excellent, while the healthy side was . Results were 0 n0 poor, 3 n1 moderate, 30.3 n10 good, and 66.7 n:22 excellent. According to the Constant Murley scoring categorical data structure, a statistical difference was found between the operated side and the healthy side p0.05. While the mean Constant Murley score of the operated side was 85.82  7.07, the mean Constant Murley score of the healthy side was 90.67  5.76. While the average of the collodiaphyseal angles of the operated side was 130.03 4.64; the mean of the angles of the intact side is 135.64  5.04. In terms of Constant Murley shoulder scores and collodiaphyseal angle values of the patients; a statistical difference was observed between the operated side and the healthy side p0.05. Conclusion: It has been observed that both clinical and functional results of the patients were successful after plate osteosynthesis using the deltopectoral approach and proximal humerus anatomical locking plate in proximal humerus fractures.

 ABSTRACT Aim: The aim of this study was to evaluate the functional and radiological results of patients who underwent plate osteosynthesis with the deltopectoral approach in proximal humerus fractures, according to the intact shoulder. Materials and Methods: Our study included 33 patients who underwent proximal humeral anatomic locking plate with deltopectoral approach due to proximal humeral fracture PHF between 2015 and 2017. Patients over 18 years of age, with closed humeral fractures, and with intact contralateral humerus and shoulder were included in our retrospective study. The functional results between the operated and healthy sides of the patients were evaluated by comparing the Constant-Murley score and radiological results with the full anteroposterior radiography and the collodiaphyseal angles. Results: According to the Constant Murley scoring categorical data structure of the patients, the operated side was 6.1 n2 poor, 6.1 n2 moderate, 39.4 n13 good, 48.5 n16 excellent, while the healthy side was . Results were 0 n0 poor, 3 n1 moderate, 30.3 n10 good, and 66.7 n:22 excellent. According to the Constant Murley scoring categorical data structure, a statistical difference was found between the operated side and the healthy side p0.05. While the mean Constant Murley score of the operated side was 85.82  7.07, the mean Constant Murley score of the healthy side was 90.67  5.76. While the average of the collodiaphyseal angles of the operated side was 130.03 4.64; the mean of the angles of the intact side is 135.64  5.04. In terms of Constant Murley shoulder scores and collodiaphyseal angle values of the patients; a statistical difference was observed between the operated side and the healthy side p0.05. Conclusion: It has been observed that both clinical and functional results of the patients were successful after plate osteosynthesis using the deltopectoral approach and proximal humerus anatomical locking plate in proximal humerus fractures.

 ABSTRACT Aim: The aim of this study was to evaluate the functional and radiological results of patients who underwent plate osteosynthesis with the deltopectoral approach in proximal humerus fractures, according to the intact shoulder. Materials and Methods: Our study included 33 patients who underwent proximal humeral anatomic locking plate with deltopectoral approach due to proximal humeral fracture PHF between 2015 and 2017. Patients over 18 years of age, with closed humeral fractures, and with intact contralateral humerus and shoulder were included in our retrospective study. The functional results between the operated and healthy sides of the patients were evaluated by comparing the Constant-Murley score and radiological results with the full anteroposterior radiography and the collodiaphyseal angles. Results: According to the Constant Murley scoring categorical data structure of the patients, the operated side was 6.1 n2 poor, 6.1 n2 moderate, 39.4 n13 good, 48.5 n16 excellent, while the healthy side was . Results were 0 n0 poor, 3 n1 moderate, 30.3 n10 good, and 66.7 n:22 excellent. According to the Constant Murley scoring categorical data structure, a statistical difference was found between the operated side and the healthy side p0.05. While the mean Constant Murley score of the operated side was 85.82  7.07, the mean Constant Murley score of the healthy side was 90.67  5.76. While the average of the collodiaphyseal angles of the operated side was 130.03 4.64; the mean of the angles of the intact side is 135.64  5.04. In terms of Constant Murley shoulder scores and collodiaphyseal angle values of the patients; a statistical difference was observed between the operated side and the healthy side p0.05. Conclusion: It has been observed that both clinical and functional results of the patients were successful after plate osteosynthesis using the deltopectoral approach and proximal humerus anatomical locking plate in proximal humerus fractures.

 ÖZ Amaç: Proksimal humerus kırıklarında deltopektoral yaklaşım ile plaklıosteosentez yapılan hastaların sağlam omuzuna göre fonksiyonel ve radyolojik sonuçlarının değerlendirmesi amaçlanmıştır. Gereç ve Yöntemler: Bu çalışmaya Ocak 2015-Ocak 2017 tarihlerinde proksimal humerus kırığı PHK nedeniyle deltopektoral yaklaşım ile proksimal humerus anotomik kilitli plak uygulanan 33 hasta dâhil edildi. Retrospektif çalışmamıza 18 yaş üstü, kapalı humerus kırığı olan, contralateral humerusu ve omuzu sağlam olan hastalar alınmıştır. Hastaların ameliyatlı ve sağlam taraflar arası fonksiyonel sonuçlar Constant-Murley skorunun 6.ay ve radyolografik sonuçlar 6.ay tam anteroposterior grafi ile kollodiafizer açılarının karşılaştırılması ile değerlendirildi. Bulgular: Hastalarda Constant Murley skorlama kategorik veri yapısına göre ameliyatlı taraf 6.1 n2 kötü, 6.1 n2 orta, 39.4 n13 iyi ve 48.5 n16 mükemmel iken, sağlam taraf  0 n0 kötü,  3 n1 orta, 30,3 n10 iyi ve 66,7 n:22 mükemmel sonuç elde edildi. Hastalarda Constant Murley skorlama kategorik veri yapısına göre ameliyat edilen taraf ile sağlam taraf arasında istatistiksel bir fark tesbit edilmiştir p0,05. Ameliyatlı tarafın Constant Murley skoru ortalaması 85,82  7,07 iken, sağlam tarafın Constant Murley skoru ortalaması 90,67  5,76 idi. Ameliyatlı tarafın kollodiafizer açıları ortalaması 130,03 4,64 iken; sağlam tarafın açıların ortalaması 135,64  5,04 tür. Hastaların Constant Murley omuz skorları ve kollodiafizer açı değerleri açısından; ameliyat edilen taraf ile sağlam taraf arasında istatistiksel bir farklılık gözlemlendi p0,05. Sonuç: Proksimal humerus kırıklarında deltopektoral yaklaşım ile proksimal humerus anotomik kilitli plak kullanılarak yapılan plaklıosteosentez sonrası hastaların hem klinik hemde fonksiyonel sonuçlarının başarılı olduğu görülmüştür.

Makale detayları

Results of Plate Osteosynthesis with Deltopectoral Approach for Proximal Humerus Fractures

Yazarlar:

Tarık Altunkılıç

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 3, pp.249-254

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292821

pISSN:

2602-3741

proximal humerus fracture

deltopectoral approach

plate osteosynthesisProksimal humerus kırığı

deltopektoral yaklaşım

plaklıosteosentez

Sayı

Makale detayları

Results of Plate Osteosynthesis with Deltopectoral Approach for Proximal Humerus Fractures

Yazarlar: Tarık Altunkılıç

Yayıncı: Selcuk University

Ana Başlıklar: Klinik Tıp Bilimleri

Dergi: Genel Tıp Dergisi Vol.33 Issue 3, pp.249-254

Belge Tipi: Makale

Yayın Tarihi: 6/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001292821

pISSN: 2602-3741

proximal humerus fracture

deltopectoral approach

plate osteosynthesisProksimal humerus kırığı

deltopektoral yaklaşım

plaklıosteosentez

Sayı

Yazarlar:

Tarık Altunkılıç

Yayıncı:

Selcuk University

Ana Başlıklar:

Klinik Tıp Bilimleri

Dergi:

Genel Tıp Dergisi Vol.33 Issue 3, pp.249-254

Belge Tipi:

Makale

Yayın Tarihi:

6/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001292821

pISSN:

2602-3741