Functional and Radiological Outcomes of the Proximal Humeral Fractures Treated with Proximal Anatomic Locking Plate

Journal Title: HASEKİ TIP BÜLTENİ - Year 2018, Vol 56, Issue 2

Abstract

Aim: We aimed to evaluate functional and radiographic outcomes of patients with proximal humeral fractures treated with proximal anatomic locking plate and were classified according to the Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) classification. Methods: In this study we included 29 patients (13 females, 16 males) aged 16-82 years who were treated with proximal anatomic locking plate between February 2010 and July 2014. The mean follow up time was 17.76±8.31 months. The right shoulder was operated in 20 patients and the left shoulder in nine patients. Functional outcomes were assessed using the Constant-Murley and University of California at Los Angeles (UCLA) shoulder score and radiologic outcomes were assessed using anteroposterior radyograph. Results: At the final follow up, the mean Constant-Murley score was 75.48±18.69. The result was poor in 31.0% (n=9), moderate in 24.1% (n=7), 13.8% (n=4) good and excellent in 31.0% (n=9) of patients. The mean UCLA score was 30.10±5.73. The outcome was poor in 17.2% (n=5), good in 31.0% (n=9) and excellent in 51.7% (n=15) of patients. In 21 patients there were no complications, but complications occurred in eight. When we compared the patients per age groups (<65 and >65), there was no difference in collo-diaphyseal angle (p=0,097, p>0,05), but the Constant-Murley scores (p=0,001) and UCLA scores (p=0,01) were statistically higher in patients below 65 years of age than in those above 65 years. Conclusion: Treathment with proximal anatomic locking plate is preferred since it supports early motion and leads to good functional results in partial proximal humeral fractures.

Authors and Affiliations

Alkan Bayrak, Cemal Kural, Altuğ Duramaz, Sünkar Kaya Bayrak, Mustafa Cevdet Avkan

Keywords

Related Articles

Which Cytological Characteristics are More Valuable for Papillary Carcinoma in Thyroid Fine-needle Aspiration?

Aim:­Fine-needle aspiration plays a significant role in the evaluation of solitary thyroid nodules. Several cytological criteria are defined and these primarily aim to distinguish papillary carcinoma (PC), the most commo...

Effect of Antiepileptic Drug Treatment on Thyroid Hormone Levels in Epilepsy Patients

Aim: Antiepileptic drugs (AEDs) can have an effect on hormone metabolism and function, and alter serum levels of some hormones. This study aimed to determine the effects of AEDs on thyroid function test results in epilep...

Closed Fracture of the Medial Malleolus Accompanied by A Rupture of the Tibialis Anterior Tendon: An Unusual Case Report

Isolated medial malleolus fractures comprise two-thirds of all ankle fractures and are rarely accompanied by a posterior tibial tendon rupture and dislocation. However, a medial malleolus fracture accompanied by an anter...

Protective Effects of Quercetin on Intestinal Damage Caused by Ionizing Radiation

Aim: The aim of this study was to evaluate the protective use of quercetin in a rat model of radiation-induced enteritis and colitis. Methods: Twenty four adult rats were randomly divided into four groups. Group SHAM was...

Serum Ischemia-Modified Albumin Concentration and Ischemia-Modified Albumin/Albumin Ratio in Hyperemesis Gravidarum

Aim: Hyperemesis gravidarum (HEG) is characterized by severe nausea and vomiting, weight loss and nutritional deficiency. Although exact cause of this condition is still a matter of debate, contribution of oxidative stre...

Download PDF file
  • EP ID EP368723
  • DOI 10.4274/haseki.88597
  • Views 99
  • Downloads 0

How To Cite

Alkan Bayrak, Cemal Kural, Altuğ Duramaz, Sünkar Kaya Bayrak, Mustafa Cevdet Avkan (2018). Functional and Radiological Outcomes of the Proximal Humeral Fractures Treated with Proximal Anatomic Locking Plate. HASEKİ TIP BÜLTENİ, 56(2), 140-146. https://europub.co.uk/articles/-A-368723