TY - JOUR T1 - EKLEM İÇİ DİSTAL HUMERUS KIRIKLARINDA OLEKRANON OSTEOTOMİSİ İLE TRİCEPS-REFLEKTİNG ANKONEUS PEDİKÜL YAKLAŞIMLARININ KARŞILAŞTIRILMASI TT - THE COMPARISON OF TRICEPS-REFLECTING ANCONEUS PEDICLE AND OLECRANON OSTEOTOMY APPROACHES IN THE TREATMENT OF INTERCONDYLAR FRACTURES OF THE HUMERUS AU - Tarğal, Ahmet Safa AU - Okkaoğlu, Mustafa Caner AU - Yaradılmış, Yüksel Uğur AU - Ateş, Ahmet AU - Demirkale, İsmail AU - Altay, Murat PY - 2018 DA - November JF - Balıkesir Medical Journal JO - BMedJ PB - Balıkesir Üniversitesi WT - DergiPark SN - 2564-6664 SP - 170 EP - 177 VL - 2 IS - 3 LA - tr AB - Amaç:İnterkondiler humerus kırıklarının cerrahi tedavisinde olekranon osteotomisi vetriceps-reflecting anconeus pedikül (TRAP) yaklaşımını karşılaştırmakGereç ve Yöntem:Kliniğimizde 2010 ve 2015 yılları arasında eklem içi distal humerus kırığınedeniyle ameliyat edilen 41 hasta geriye dönük değerlendirildi. TRAP yaklaşımı 16 hastaya, olekranonosteotomisi yaklaşımı 25 hastaya uygulandı. Kırıklar AO/OTA sınıflama sisteminegöre sınıflandırıldı. Hastalar Kol Omuz ve El Engellilik Skoru (DASH), MayoDirsek Performans Skoru (MEPS), dirsekhareket açıklıkları, komplikasyon ve kaynama zamanı yönünden karşılaştırıldı.Bulgular: İkigrup arasında kaynama zamanı açısından, DASH skorları ve MEPS skorları yönündenistatistiksel anlamlı fark bulunamadı. Olekranon osteotomisi yapılan 5 hastadaTRAP yapılan 2 hastada komplikasyon gelişti.Sonuç: Eklemiçi uzanımı olan distal humerus kırıklarında olekranon osteotomisi ve TRAPyöntemleri arasında ameliyat sonrası fonksiyonel açıdan fark yoktur. TRAPyöntemi komplikasyon oranının az olması ve tekrar ameliyat gereksinimininolmaması yönünden avantajlı görünmektedir. KW - : Distal humerus KW - olekranon osteotomisi KW - KW - TRAP N2 - Objective: In this study we aim to evaluatetriceps-reflecting anconeus pedicle and olecranon osteotomy approaches in thetreatment of intercondylar fractures of the humerusMaterialand Methods: Forty one patients who were treated in our hospital between 2010-2015years with intraarticular distal humerus fractures were retrospectivelyanalyzed. TRAP approach used in 16 patients(10 males, 6 females) and olecranonosteotomy in 25 patients (15 males, 10 females). Fractures were classified inthe AO/OTA classification.Functional results were evaluated with the Mayo elbowperformance score (MEPS) and the Disabilities of Arm , Shoulder and Hand (DASH)question naire score. Results:There were no significant differences noted between groups interms of clinicalfracture healing time, mean MEPS and DASH scores. Complication was noted onfive patients treated with olecranon osteotomy approach and two patientstreated with TRAP approach. 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The anconeus flap transolecranon approach to the distal humerus. J Orthop Trauma 2006;20:282–5. UR - https://dergipark.org.tr/tr/pub/bmedj/issue//431491 L1 - https://dergipark.org.tr/tr/download/article-file/577320 ER -