Management of AO type 12C humerus proximal metadiaphyseal fractures with minimally invasive plate osteosynthesis in geriatric patients

Management of AO type 12C humerus proximal metadiaphyseal fractures with minimally invasive plate osteosynthesis in geriatric patients

Firat Seyfettinoğlu, Hasan Ulaş Oğur, Ümit Tuhanioğlu, Hakan Çiçek, Ahmet Kapukaya Orthopaedics and Traumatology Department, Adana Numune Training and Research Hospital, Adana, Turkey Background: To evaluate the treatment efficacy and complications of the lateral min...

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Autores principales: Seyfettinoğlu F, Oğur HU, Tuhanioğlu Ü, Çiçek H, Kapukaya A
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2018
Materias:
Metadiaphyseal fractures of proximal humerus
ninimal invazive plating
elderly patients
Geriatrics
RC952-954.6
Acceso en línea:https://doaj.org/article/d8e662c9e61249a5a21d10e5f3b7dd89
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spelling oai:doaj.org-article:d8e662c9e61249a5a21d10e5f3b7dd892021-12-02T01:18:39ZManagement of AO type 12C humerus proximal metadiaphyseal fractures with minimally invasive plate osteosynthesis in geriatric patients1178-1998https://doaj.org/article/d8e662c9e61249a5a21d10e5f3b7dd892018-05-01T00:00:00Zhttps://www.dovepress.com/management-of-ao-type-12c-humerus-proximal-metadiaphyseal-fractures-wi-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Firat Seyfettinoğlu, Hasan Ulaş Oğur, Ümit Tuhanioğlu, Hakan Çiçek, Ahmet Kapukaya Orthopaedics and Traumatology Department, Adana Numune Training and Research Hospital, Adana, Turkey Background: To evaluate the treatment efficacy and complications of the lateral minimally invasive plate osteosynthesis (MIPO) method in geriatric patients with a humerus diaphyseal fracture with proximal extension. Patients and methods: The study included a total of 21 patients (18 females, 3 males; mean age 74±6.3 years, range 65–89 years) who underwent surgery with the lateral MIPO technique for a humerus diaphyseal fracture with proximal extension during the period January 2011 to December 2016. None of the patients had additional injuries and all completed regular follow-up. According to the Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation classification system, the fractures were evaluated as 12C1 in 17 cases and 12C3 in 4 cases. All patients were evaluated radiologically and functionally at 6 months and 1 year. In the follow-up evaluations, the Constant–Murley score and the Quick Disabilities of the Arm, Shoulder, and Hand (Q-DASH) score were used. Results: No non-union, avascular necrosis or infection was seen in any patient. The mean time to union was 15.7 weeks. Impingement syndrome was seen in 2 patients and radial nerve palsy in 2 patients. The mean Constant–Murley score was 70.6±10.2 at 6 months and 84±7.6 at the end of 1 year. The mean Q-DASH score was 38.6±15.1 at 6 months and 21.9±13.1 at the end of 1 year. The increase in the Constant–Murley scores from 6 months to 1 year was statistically significant (p<0.0001). The decrease in the Q-DASH scores between 6 months and 1 year was determined to be statistically significant. In the 2 patients with radial nerve palsy, the functions were seen to completely recover during follow-up. No axillary nerve palsy was seen in any patient. Conclusion: Metadiaphyseal humerus fractures with proximal extension in the elderly can be successfully treated with the lateral MIPO technique. When applied correctly, it is a method with high rates of union and low rates of complications. Keywords: metadiaphyseal fractures of proximal humerus, minimal invasive plating, elderly patientsSeyfettinoğlu FOğur HUTuhanioğlu ÜÇiçek HKapukaya ADove Medical PressarticleMetadiaphyseal fractures of proximal humerusninimal invazive platingelderly patientsGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 13, Pp 1003-1010 (2018)
institution DOAJ
collection DOAJ
language EN
topic Metadiaphyseal fractures of proximal humerus
ninimal invazive plating
elderly patients
Geriatrics
RC952-954.6
spellingShingle Metadiaphyseal fractures of proximal humerus
ninimal invazive plating
elderly patients
Geriatrics
RC952-954.6
Seyfettinoğlu F
Oğur HU
Tuhanioğlu Ü
Çiçek H
Kapukaya A
Management of AO type 12C humerus proximal metadiaphyseal fractures with minimally invasive plate osteosynthesis in geriatric patients
description Firat Seyfettinoğlu, Hasan Ulaş Oğur, Ümit Tuhanioğlu, Hakan Çiçek, Ahmet Kapukaya Orthopaedics and Traumatology Department, Adana Numune Training and Research Hospital, Adana, Turkey Background: To evaluate the treatment efficacy and complications of the lateral minimally invasive plate osteosynthesis (MIPO) method in geriatric patients with a humerus diaphyseal fracture with proximal extension. Patients and methods: The study included a total of 21 patients (18 females, 3 males; mean age 74±6.3 years, range 65–89 years) who underwent surgery with the lateral MIPO technique for a humerus diaphyseal fracture with proximal extension during the period January 2011 to December 2016. None of the patients had additional injuries and all completed regular follow-up. According to the Arbeitsgemeinschaft für Osteosynthesefragen/Association for the Study of Internal Fixation classification system, the fractures were evaluated as 12C1 in 17 cases and 12C3 in 4 cases. All patients were evaluated radiologically and functionally at 6 months and 1 year. In the follow-up evaluations, the Constant–Murley score and the Quick Disabilities of the Arm, Shoulder, and Hand (Q-DASH) score were used. Results: No non-union, avascular necrosis or infection was seen in any patient. The mean time to union was 15.7 weeks. Impingement syndrome was seen in 2 patients and radial nerve palsy in 2 patients. The mean Constant–Murley score was 70.6±10.2 at 6 months and 84±7.6 at the end of 1 year. The mean Q-DASH score was 38.6±15.1 at 6 months and 21.9±13.1 at the end of 1 year. The increase in the Constant–Murley scores from 6 months to 1 year was statistically significant (p<0.0001). The decrease in the Q-DASH scores between 6 months and 1 year was determined to be statistically significant. In the 2 patients with radial nerve palsy, the functions were seen to completely recover during follow-up. No axillary nerve palsy was seen in any patient. Conclusion: Metadiaphyseal humerus fractures with proximal extension in the elderly can be successfully treated with the lateral MIPO technique. When applied correctly, it is a method with high rates of union and low rates of complications. Keywords: metadiaphyseal fractures of proximal humerus, minimal invasive plating, elderly patients
format article
author Seyfettinoğlu F
Oğur HU
Tuhanioğlu Ü
Çiçek H
Kapukaya A
author_facet Seyfettinoğlu F
Oğur HU
Tuhanioğlu Ü
Çiçek H
Kapukaya A
author_sort Seyfettinoğlu F
title Management of AO type 12C humerus proximal metadiaphyseal fractures with minimally invasive plate osteosynthesis in geriatric patients
title_short Management of AO type 12C humerus proximal metadiaphyseal fractures with minimally invasive plate osteosynthesis in geriatric patients
title_full Management of AO type 12C humerus proximal metadiaphyseal fractures with minimally invasive plate osteosynthesis in geriatric patients
title_fullStr Management of AO type 12C humerus proximal metadiaphyseal fractures with minimally invasive plate osteosynthesis in geriatric patients
title_full_unstemmed Management of AO type 12C humerus proximal metadiaphyseal fractures with minimally invasive plate osteosynthesis in geriatric patients
title_sort management of ao type 12c humerus proximal metadiaphyseal fractures with minimally invasive plate osteosynthesis in geriatric patients
publisher Dove Medical Press
publishDate 2018
url https://doaj.org/article/d8e662c9e61249a5a21d10e5f3b7dd89
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AT tuhaniogluu managementofaotype12chumerusproximalmetadiaphysealfractureswithminimallyinvasiveplateosteosynthesisingeriatricpatients
AT cicekh managementofaotype12chumerusproximalmetadiaphysealfractureswithminimallyinvasiveplateosteosynthesisingeriatricpatients
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