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Treatment of unusual proximal humeral fractures using unilateral external fixator: a case series

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dc.contributor.authorUZER, GÖKÇER
dc.contributor.authorYILDIZ, FATİH
dc.contributor.authorElmadağ, Mehmet
dc.contributor.authorBilsel, Kerem
dc.contributor.authorPULATKAN, Anil
dc.contributor.institutionauthorUZER, GÖKÇER
dc.contributor.institutionauthorYILDIZ, FATİH
dc.contributor.institutionauthorBİLSEL, İSMAIL KEREM
dc.date.accessioned2019-10-05T12:47:37Z
dc.date.available2019-10-05T12:47:37Z
dc.date.issued2015-05-01
dc.description.abstractObjective To report the functional and radiological results of unusual comminuted fractures of the proximal humerus, treated with ‘closed reduction and external fixation’ (CREF) using hybrid-type unilateral external fixators (EFs). Patients and methods Between January 2012 and June 2013, eight patients (mean age 62.6; range 48–84 years) with comminuted proximal humeral fractures extending to the humeral head and one-third proximal diaphysis were treated with CREF using hybrid-type EFs. Functional results were evaluated in terms of shoulder ranges of movement, Constant, DASH, and VAS scores, and radiological results were evaluated using antero-posterior and lateral radiograms of the treated humerus. Results The mean follow-up was 16.6 (range 12–28) months. The mean fixator time was 84 (range 63–118) days. The mean range of forward flexion, internal rotation, external rotation, and abduction were 145°, 61.2°, 65°, and 115°, respectively. The mean Constant, DASH, and VAS scores were 79.8, 10, and 1.75, respectively. Seven of the eight patients (87.5 %) healed radiologically. Two complications were observed in two patients: non-union and superficial pin site infection. Conclusions In the treatment of unusual, comminuted proximal diaphyseal humeral fractures, CREF using a hybrid-type EF is a minimally invasive, advantageous procedure with acceptable rates of healing, low risk of surgical site infection, and early range of motion. Level of evidence Level IV, case series.en
dc.identifier10.5152/turkpediatriars.2016.2218
dc.identifier.citationUZER G., YILDIZ F., Elmadağ M., Bilsel K., PULATKAN A., -Treatment of unusual proximal humeral fractures using unilateral external fixator: a case series-, European Journal of Orthopaedic Surgery and Traumatology, cilt.25, ss.683-687, 2015
dc.identifier.doi10.1007/s00590-014-1579-9
dc.identifier.pubmed25524319
dc.identifier.scopus84939958051
dc.identifier.urihttps://hdl.handle.net/20.500.12645/589
dc.identifier.urihttps://link.springer.com/article/10.1007%2Fs00590-014-1579-9
dc.language.isoen
dc.subjectProximal Humeral Fracturesen
dc.titleTreatment of unusual proximal humeral fractures using unilateral external fixator: a case series
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameTURK PEDIATRI ARSIVI-TURKISH ARCHIVES OF PEDIATRICS
local.avesis.id0bd119db-52b0-4811-9e77-c75b73563c21
local.avesis.response459
local.org.facultyTıp Fakültesi
local.publication.isinternational1
relation.isAuthorOfPublication2ac6eb83-fe07-4a95-8352-af58807d1d60
relation.isAuthorOfPublication62fa4380-d04e-462f-964d-3d586ffd68dc
relation.isAuthorOfPublicationdb1859ad-a3b3-4299-8b42-89a62b377d7d
relation.isAuthorOfPublication.latestForDiscovery62fa4380-d04e-462f-964d-3d586ffd68dc
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