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Dergiler / Acta Orthopaedica et Traumatologica Turcica / 2014 / Cilt: 48 - Sayı: 5

Results of surgical management of valgus-impacted proximal humerus fractures with structural allografts

ATA CAN ATALAR
İLKER EREN
Serkan ULUDAĞ
MEHMET SELAHATTİN DEMİRHAN
Sayfa
546–552
DOI
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Yapay Zeka Hızlı Bakış & Çıkarımlar

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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Plate osteosynthesis with structural allografts warrants initial mechanical support until union, thus avoiding complications related to head collapse.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objective: The aim of this study was to clinically and radiologically evaluate patients treated with plate osteosynthesis with structural allografts for severely valgus-impacted fractures of the proximal humerus.Methods: The study included 10 patients (average age: 57 years; range: 34 to 77 years) with valgusimpacted Neer Type 4 proximal humerus fractures.
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Temel Bulgular & Veri:Patients were called for an up-to-date examination and evaluated radiologically and clinically with Constant and DASH scores.Results: Average follow-up period was 22.5±12.2 (range: 12 to 50) months.
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Sonuç & Katkı:Plate osteosynthesis with structural allografts warrants initial mechanical support until union, thus avoiding complications related to head collapse.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Objective: The aim of this study was to clinically and radiologically evaluate patients treated with plate osteosynthesis with structural allografts for severely valgus-impacted fractures of the proximal humerus.Methods: The study included 10 patients (average age: 57 years; range: 34 to 77 years) with valgusimpacted Neer Type 4 proximal humerus fractures. Fractures were classified according to the Robinson classification. Patients were called for an up-to-date examination and evaluated radiologically and clinically with Constant and DASH scores.Results: Average follow-up period was 22.5±12.2 (range: 12 to 50) months. Average DASH score at the final follow-up was 7.6±4.5 (range: 2.5 to 16.7) and average Constant score was 87.7±4.4 (range: 83 to 94). None of the cases had early or late head collapse. There was no avascular necrosis. One early screw penetration was observed.Conclusion: Surgical treatment of valgus-impacted proximal humerus fractures achieved successful results. However, the cavity under the humeral head may lead to failure due to mechanical insufficiency. Plate osteosynthesis with structural allografts warrants initial mechanical support until union, thus avoiding complications related to head collapse.

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Bu Makaleye Atıf Yap

ATALAR, A. C., EREN, İ., ULUDAĞ, S., DEMİRHAN, M. S. (2014). Results of surgical management of valgus-impacted proximal humerus fractures with structural allografts. Acta Orthopaedica et Traumatologica Turcica, Cilt: 48 - Sayı: 5, 546–552. https://ajindex.com/articles/353675

Kaynakça (16)

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