Clinical and radiologic results of open reduction and fixation with locked plate screws in proximal humerus fracture-dislocation

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dc.contributor.authorDegnek, Orhan
dc.contributor.authorAtic, Ramazan
dc.contributor.authorAlemdar, Celil
dc.contributor.authorAydin, Abdulkadir
dc.contributor.authorYildirim, Azad
dc.contributor.authorOzkul, Emin
dc.date.accessioned2024-04-24T17:24:42Z
dc.date.available2024-04-24T17:24:42Z
dc.date.issued2019
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim: Proximal fracture dislocations of the humerus are rarely seen in society compared to other fractures. In our study, we evaluated the clinical and radiological results of patients who underwent open reduction and locked plate-screw fixation with proximal humerus fracture-dislocation. Material and Method: Between January 2009 and January 2016, 17 patients were treated with open reduction and locking plate screws in the Department of Orthopedics and Traumatology at the Faculty of Medicine, Dicle University. Patients were divided into two groups according to age. Group 1 consisted of 6 patients over 65 years of age and the mean age was 77.5 (69-87). Group 2 consisted of 11 patients under 65 years of age and the mean age was 41.6 (24-60). Group 1 consisted of all female patients and Group 2 consisted of all male patients. Patient fractures were classified according to the Neer classification. Oxford Shoulder Scale, DASH Score, and Constant Murley Score were used in the clinical evaluation of the patients. Avascular necrosis phase was performed according to Cruess phase. Results: The mean follow-up period of the patients was 13.8 months (range 10-38). The mean duration of surgery was 1.11 days (range 0-4). According to the Neer classification, 11.8% of the cases were two-part fracture dislocation, 64.7% were three-part fracture dislocation, and 23.5% were four-part fracture dislocation. There was a statistically significant difference between Oxford and DASH scores in the clinical outcome according to age groups (p = 0.001, p=0.049). Avascular necrosis was observed in 14 of 17 (82.3%) patients. Additional complications such as wound infection, nonunion were not observed. Discussion: In proximal humerus fracture-dislocations, the first surgical choice should be open reduction and internal fixation in young patients, whereas internal fixation in addition to arthroplasty should be considered in elderly patients.en_US
dc.identifier.doi10.4328/JCAM.5859
dc.identifier.endpage88en_US
dc.identifier.issn1309-0720
dc.identifier.issn1309-2014
dc.identifier.issue1en_US
dc.identifier.startpage83en_US
dc.identifier.urihttps://doi.org/10.4328/JCAM.5859
dc.identifier.urihttps://hdl.handle.net/11468/19796
dc.identifier.volume10en_US
dc.identifier.wosWOS:000451875800018
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.language.isoenen_US
dc.publisherDerman Medical Publen_US
dc.relation.ispartofJournal of Clinical and Analytical Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectHumerusen_US
dc.subjectFractureen_US
dc.subjectAvascular Necrosisen_US
dc.subjectOpen Reductionen_US
dc.subjectPlateen_US
dc.titleClinical and radiologic results of open reduction and fixation with locked plate screws in proximal humerus fracture-dislocationen_US
dc.titleClinical and radiologic results of open reduction and fixation with locked plate screws in proximal humerus fracture-dislocation
dc.typeArticleen_US

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