Treatment of proximal humeral fractures with open reduction and internal fixation with Kirschner wires

Cem Esenyel; Ridvan Yesiltepe; Murat Bulbul; Adnan Bagriacik; Ayhan Kara

doi:10.3944/aott.v35i1.1705

Treatment of proximal humeral fractures with open reduction and internal fixation with Kirschner wires

Year 2001, Volume: 35 Issue: 1, 10 - 15, 11.09.2006

Cem Esenyel Ridvan Yesiltepe Murat Bulbul Adnan Bagriacik Ayhan Kara

Abstract

Objectives: We evaluated the results of patients who were treated with open reduction and internal fixation for displaced proximal humeral fractures.
Methods: Sixteen patients (mean age 49.31 years, range 22 to 78 years) with displaced proximal humeral fractures were treated by open reduction and internal fixation with Kirschner wires. According to the Neer classification, three patients had type II, 11 patients had type III, and two patients had type IV fractures. The mean duration between trauma and surgery was 7.9 days. The results were evaluated using the Constant criteria. The mean follow-up was 28 months (range 12 to 49 months).
Results: According to the Constant scores, the results were excellent and good in eight patients (50%), fair in four patients (25%), and poor in four patients (25%). One patient required hemiarthroplasty because of pseudoarthrosis. One patient developed avascular necrosis of the humeral head. Minimal pin tract infections were encountered in three patients.
Conclusion: Successful outcome in the treatment of proximal humeral fractures depends on proper patient selection, appropriate surgical technique, and a well-supervised postoperative rehabilitation program.

Keywords

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Proksimal humerus kırıklarında açık redüksiyon ve Kirschner teli ile fiksasyon

Year 2001, Volume: 35 Issue: 1, 10 - 15, 11.09.2006

Cem Esenyel Ridvan Yesiltepe Murat Bulbul Adnan Bagriacik Ayhan Kara

Abstract

Amaç: Kliniğimizde açık redüksiyon ve Kirschner teli ile fiksasyon yapılarak tedavi edilen deplase proksimal humerus kırıklı olguların tedavi sonuçlarını değerlendirdik.
Çalışma planı: Deplase proksimal humerus kırıklı 16 hastaya (ort. yaş 49.31, dağılım 22-78) cerrahi olarak açık redüksiyon ve Kirschner telleri ile fiksasyon yapıldı. Kırık tipleri Neer sınıflamasına göre üç olguda tip II, 11 olguda tip III ve iki olguda ise tip IV idi. Travma oluşması ile ameliyat arasında geçen süre ortalama 7.9 gündü. Sonuçlar Constant kriterlerine göre değerlendirildi. Olgular ortalama 28 ay (dağılım12-49 ay) süreyle takip edildi.
Sonuçlar: Constant kriterlerine göre sekiz hastada (%50) çok iyi ve iyi, dört hastada (%25) orta, dört hastada (%25) kötü sonuç alındı. Bir olguda gelişen psödoartroz nedeniyle hemiartroplasti uygulandı. Bir olguda humerus başında avasküler nekroz gelişti. Üç hastada da minimal çivi dibi enfeksiyonu gelişti.
Çıkarımlar: Proksimal humerus kırıklarının tedavisinde başarı uygun hasta seçimine, uygun cerrahi tekniğin uygulanmasına ve ameliyat sonrasında uygulanacak iyi bir rehabilitasyon programına bağlıdır.

Keywords

Bone wires;fracture fixation/methods;fracture fixation/methods;internal/methods;humeral fractures/surgery/radiography/ classification;shoulder dislocation/surgery;shoulder fractures/surgery

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Details

Primary Language	English
Journal Section	Original Article
Authors	Cem Esenyel This is me Ridvan Yesiltepe This is me Murat Bulbul This is me Adnan Bagriacik This is me Ayhan Kara This is me
Publication Date	September 11, 2006
Published in Issue	Year 2001 Volume: 35 Issue: 1

Cite

APA	Esenyel, C., Yesiltepe, R., Bulbul, M., Bagriacik, A., et al. (2006). Treatment of proximal humeral fractures with open reduction and internal fixation with Kirschner wires. Acta Orthopaedica Et Traumatologica Turcica, 35(1), 10-15. https://doi.org/10.3944/aott.v35i1.1705
AMA	Esenyel C, Yesiltepe R, Bulbul M, Bagriacik A, Kara A. Treatment of proximal humeral fractures with open reduction and internal fixation with Kirschner wires. Acta Orthopaedica et Traumatologica Turcica. September 2006;35(1):10-15. doi:10.3944/aott.v35i1.1705
Chicago	Esenyel, Cem, Ridvan Yesiltepe, Murat Bulbul, Adnan Bagriacik, and Ayhan Kara. “Treatment of Proximal Humeral Fractures With Open Reduction and Internal Fixation With Kirschner Wires”. Acta Orthopaedica Et Traumatologica Turcica 35, no. 1 (September 2006): 10-15. https://doi.org/10.3944/aott.v35i1.1705.
EndNote	Esenyel C, Yesiltepe R, Bulbul M, Bagriacik A, Kara A (September 1, 2006) Treatment of proximal humeral fractures with open reduction and internal fixation with Kirschner wires. Acta Orthopaedica et Traumatologica Turcica 35 1 10–15.
IEEE	C. Esenyel, R. Yesiltepe, M. Bulbul, A. Bagriacik, and A. Kara, “Treatment of proximal humeral fractures with open reduction and internal fixation with Kirschner wires”, Acta Orthopaedica et Traumatologica Turcica, vol. 35, no. 1, pp. 10–15, 2006, doi: 10.3944/aott.v35i1.1705.
ISNAD	Esenyel, Cem et al. “Treatment of Proximal Humeral Fractures With Open Reduction and Internal Fixation With Kirschner Wires”. Acta Orthopaedica et Traumatologica Turcica 35/1 (September 2006), 10-15. https://doi.org/10.3944/aott.v35i1.1705.
JAMA	Esenyel C, Yesiltepe R, Bulbul M, Bagriacik A, Kara A. Treatment of proximal humeral fractures with open reduction and internal fixation with Kirschner wires. Acta Orthopaedica et Traumatologica Turcica. 2006;35:10–15.
MLA	Esenyel, Cem et al. “Treatment of Proximal Humeral Fractures With Open Reduction and Internal Fixation With Kirschner Wires”. Acta Orthopaedica Et Traumatologica Turcica, vol. 35, no. 1, 2006, pp. 10-15, doi:10.3944/aott.v35i1.1705.
Vancouver	Esenyel C, Yesiltepe R, Bulbul M, Bagriacik A, Kara A. Treatment of proximal humeral fractures with open reduction and internal fixation with Kirschner wires. Acta Orthopaedica et Traumatologica Turcica. 2006;35(1):10-5.