Publication:
Coronal plane fractures of the distal humerus involving the capitellum and trochlea treated with open reduction internal fixation

dc.contributor.coauthorBilsel, Kerem
dc.contributor.coauthorAtalar, Ata Can
dc.contributor.coauthorErdil, Mehmet
dc.contributor.coauthorElmadag, Mehmet
dc.contributor.coauthorSen, Cengiz
dc.contributor.departmentSchool of Medicine
dc.contributor.kuauthorDemirhan, Mehmet
dc.contributor.schoolcollegeinstituteSCHOOL OF MEDICINE
dc.date.accessioned2024-11-09T22:59:10Z
dc.date.issued2013
dc.description.abstractCoronal plane fractures of the distal humerus involving the capitellum and trochlea are rare. Treatments have evolved from closed reduction to open reduction and internal fixation (ORIF) to achieve a stable joint that allows early mobilization. We determined the functional outcomes of treating coronal plane fractures of the distal humerus with ORIF. We reviewed the records of all patients with coronal plane fractures of the distal humerus treated by ORIF. Fractures were classified according to Bryan and Morrey. Cannulated screws were used for fixation. All patients were evaluated using the Mayo Elbow Score Performance Index (MEPI) and disabilities of the arm, shoulder, and hand (DASH) scores at least 1 year later. Of the 18 patients evaluated (12 women), the mean (SD) age was 45.3(16.5) years (range 16-70). There were seven Type-I, five Type-III, and six Type-IV fractures. Mean follow-up was 43.6 (38.1) months (range 12-120). The mean elbow range of motion in sagittal plane at last follow-up ranged from 8.9A degrees to 132.8A degrees. The mean MEPI score was 86.7 (15.2) points (range 60-100), corresponding to 12 excellent, 2 good, and 4 fair outcomes. The mean DASH score was 15.3 (13.5) points (range 17-35.8). Heterotrophic ossification developed in one patient with delayed fixation; 14 patients with excellent or good results returned to their previous activity levels. Functional scores did not differ by age, sex, or fracture types (P > 0.05 for all comparisons). ORIF with cannulated screws, which maintain a stable anatomic articular position, provides satisfactory results in coronal plane fractures of the distal humerus. Level IV case series.
dc.description.indexedbyWOS
dc.description.indexedbyScopus
dc.description.issue6
dc.description.openaccessNO
dc.description.sponsoredbyTubitakEuN/A
dc.description.volume133
dc.identifier.doi10.1007/s00402-013-1718-5
dc.identifier.issn0936-8051
dc.identifier.scopus2-s2.0-84878242432
dc.identifier.urihttps://doi.org/10.1007/s00402-013-1718-5
dc.identifier.urihttps://hdl.handle.net/20.500.14288/7852
dc.identifier.wos319269700009
dc.keywordsCapitellum
dc.keywordsTrochlea
dc.keywordsCoronal plane
dc.keywordsFracture
dc.keywordsOpen reduction and internal fixation
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofArchives Of Orthopaedic And Trauma Surgery
dc.subjectOrthopedics
dc.subjectSurgery
dc.titleCoronal plane fractures of the distal humerus involving the capitellum and trochlea treated with open reduction internal fixation
dc.typeJournal Article
dspace.entity.typePublication
local.contributor.kuauthorDemirhan, Mehmet
local.publication.orgunit1SCHOOL OF MEDICINE
local.publication.orgunit2School of Medicine
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