Comparison of Clinical and Radiological Results of Orthogonal and Parallel LC-DCP Plating in AO Type C Distal Humerus Fractures AO Tip C Distal Humerus Kırıklarında Ortogonal ve Paralel LC-DCP Plaklamanın Klinik ve Radyolojik Sonuçlarının Karşılaştırılması
Sakarya Medical Journal, cilt.12, sa.1, ss.63-70, 2022 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 12 Sayı: 1
- Basım Tarihi: 2022
- Doi Numarası: 10.31832/smj.1014491
- Dergi Adı: Sakarya Medical Journal
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.63-70
- Anahtar Kelimeler: Humerus distal fractures, intraarticular fractures, Orthogonal plating, Parallel plating
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective AO (Arbeitsgemeinschaft für Osteosynthesefragen) type C distal humerus fractures are difficult fractures to reduce and fix due to the difficulty of the elbow anatomy and small size of the broken bone parts. We hypothesize that although parallel plating technique is biomechanically superior for humerus distal fracture, orthogonal plating technique in clinical conditions is as reliable and effective as a method of parallel plating for Type C humerus fractures. Materials and Methods Between 2012 and 2018, 36 patients who underwent operations for AO type C distal humerus fractures and met the inclusion criteria were evaluated retrospectively. Parallel plating was performed in 20 patients and orthogonal plating (medial and posterolateral plating) in 16 patients. All patients were fixed with LC-DCP plates. Quick DASH, Mayo elbow, and VAS scores; grip strength; elbow ROM (Range of Motion); extension loss; and evaluations complications at the last visit. Results There was no statistically significant difference between the groups in terms of the Quick DASH, Mayo elbow, or VAS scores, grip strength, elbow ROM, extension loss, union time, postoperative heterotrophic ossification, elbow and olecranon nonunion, post-op neuropraxia, or other complications (P > 0.05). There was a statistically significant difference between the two groups regarding ulnar nerve transposition (P <0.05). Conclusion There are no functional, radiological, or complicated advantages between parallel plating and orthogonal plating, which are frequently used in the literature, for treating type C distal humerus fractures. The surgeon can safely use both techniques, depending on the type of fracture and how both columns are broken.