Our surgical results in the management of type 1 capitellum fracture Tip 1 kapİtellum kırıklarında cerrahi sonuçlarımız
Goztepe Tip Dergisi, cilt.29, sa.1, ss.4-11, 2014 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 29 Sayı: 1
- Basım Tarihi: 2014
- Doi Numarası: 10.5222/j.goztepetrh.2014.004
- Dergi Adı: Goztepe Tip Dergisi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.4-11
- Anahtar Kelimeler: Acute rack screws, Type 1 capitellum
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Backraund: We wanted to evaluate the clinical results about the closed type 1 capitellum fractures with open reduction and internal fixation of acute rack screws. Material and Methods: Our study population consisted of 13 patients (8 men, and 5 women) with a median age of 18.5 years (range, 12-25 years) on whom we performed surgery with the indication of closed capitelluım fracture. All of our patients with type 1 capitellum fracture. In one of our patients capitellum fracture was associated with ipsilateral subtrochanteric femoral shaft fracture, and in the other patient with ipsilateral collum femoris fracture. One of our patients had bilateral capitellum fractures. The patient with bilateral fractures also had capitellum fracture of the lateral condyle of his right elbow. Acute track screws were used in all patients for capitellum fractures. Mayo Clinic Performance Index for the Elbow (MCPIE) was also added to the radiological examinations. Patients were also followed for an average of 26 months (6 months -48 months). Results: According to MCPIE criteria, our results were excellent , and good in 99. 1, and 0.1 % of the patients respectively. Only one patient had resudial pain. None of our patients had arthritis, avascular necrosis, infection, heterotopic ossification, and loss of range of motion. Conclusions: In capitellum fractures, anatomical reduction should be ensured so as to provide elbow biomechanics.