Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate

Ertan Birsel, Sema; Birsel, Olgar; Demir, Muhammed Taha; KESMEZACAR, HAYRETTIN; salih, muhammet; Pirincci, Yusuf

doi:10.5152/j.aott.2020.20092

Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate

Muhammed Taha DEMİR, (İstanbul Tıp Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Sema ERTAN BİRSEL, (İstanbul Tıp Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Muhammet SALİH, (İstanbul Tıp Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Yusuf PİRİNÇCİ, (İstanbul Tıp Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Olgar BİRSEL, (Koç Üniversitesi, Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, İstanbul, Türkiye)

Hayrettin KESMEZACAR (Florence Nightingale Hastanesi, Ortopedi ve Travmatoloji Kliniği, İstanbul, Türkiye)

Acta Orthopaedica et Traumatologica Turcica

2 0

Yıl: 2020 Cilt: 54 Sayı: 4 Sayfa Aralığı: 364 - 371 Metin Dili: İngilizce DOI: 10.5152/j.aott.2020.20092 İndeks Tarihi: 25-11-2020

Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate

Öz:

Objective: This study aimed to evaluate the functional outcomes of the surgical treatment performed with a buttress platefor the trochlear and distal capitellum fractures with posterior extension in the humerus.Methods: The data belonging to 6 female and 4 male patients with a mean age of 43.8±11.1 (34–72) years were retrospectivelyevaluated. The mean follow-up period was 59.6±38.79 (22–127) months. The trochlear extension and posterior comminutionof the fractures were assessed through the initial X-rays and computerized tomography images. Ten patients were classifiedas Dubberley type B. All fractures were treated surgically, with open reduction and internal fixation using a lateral buttressplate, headless cannulated screws, and Kirschner (K)-wires. The passive flexion and extension exercises were initiated at thefirst postoperative day. The patients were evaluated clinically and radiographically at the final follow-up. The outcomes werequantified using the Mayo Elbow Performance Index (MEPI), visual analog scale (VAS) pain score, and the patient’s opinion.Results: At the final follow-up, the mean elbow flexion was 137.5°±3° (132°–140°), extension was −17.9°±9.2° (10°–35°),pronation was 72.2°±2.6° (68°–75°), and supination was 78.9°±4.09 (72°–85°). The mean MEPI score was calculated as95.5±5.98 (85–100). According to the MEPI score, 8 patients were evaluated as excellent and 2 as good. The mean VAS painscore was 0.8±1.03 (0–2). The subjective patient evaluation was recorded as excellent in 5 patients, good in 3 patients, andmoderate in 2 patients. One patient developed avascular necrosis and 2 patients had elbow joint arthrosis. K-wire migrationwas observed in one patient. Loss of reduction, nonunion, malunion, reflex sympathetic dystrophy, or heterotopic ossification were not encountered.Conclusion: The management of distal humeral fractures is challenging, and favorable outcomes are closely associated with early joint motion. A solid fixation grants early mobilization. An internal fixation using lateral buttress plate, headless cannulatedscrews, and interfragmentary K-wires provides a solid and secure construction that allows early postoperative joint motion.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Bibliyografik

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APA	Demir M, Ertan Birsel S, salih m, Pirincci Y, Birsel O, KESMEZACAR H (2020). Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate. , 364 - 371. 10.5152/j.aott.2020.20092
Chicago	Demir Muhammed Taha,Ertan Birsel Sema,salih muhammet,Pirincci Yusuf,Birsel Olgar,KESMEZACAR HAYRETTIN Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate. (2020): 364 - 371. 10.5152/j.aott.2020.20092
MLA	Demir Muhammed Taha,Ertan Birsel Sema,salih muhammet,Pirincci Yusuf,Birsel Olgar,KESMEZACAR HAYRETTIN Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate. , 2020, ss.364 - 371. 10.5152/j.aott.2020.20092
AMA	Demir M,Ertan Birsel S,salih m,Pirincci Y,Birsel O,KESMEZACAR H Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate. . 2020; 364 - 371. 10.5152/j.aott.2020.20092
Vancouver	Demir M,Ertan Birsel S,salih m,Pirincci Y,Birsel O,KESMEZACAR H Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate. . 2020; 364 - 371. 10.5152/j.aott.2020.20092
IEEE	Demir M,Ertan Birsel S,salih m,Pirincci Y,Birsel O,KESMEZACAR H "Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate." , ss.364 - 371, 2020. 10.5152/j.aott.2020.20092
ISNAD	Demir, Muhammed Taha vd. "Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate". (2020), 364-371. https://doi.org/10.5152/j.aott.2020.20092

APA	Demir M, Ertan Birsel S, salih m, Pirincci Y, Birsel O, KESMEZACAR H (2020). Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate. Acta Orthopaedica et Traumatologica Turcica, 54(4), 364 - 371. 10.5152/j.aott.2020.20092
Chicago	Demir Muhammed Taha,Ertan Birsel Sema,salih muhammet,Pirincci Yusuf,Birsel Olgar,KESMEZACAR HAYRETTIN Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate. Acta Orthopaedica et Traumatologica Turcica 54, no.4 (2020): 364 - 371. 10.5152/j.aott.2020.20092
MLA	Demir Muhammed Taha,Ertan Birsel Sema,salih muhammet,Pirincci Yusuf,Birsel Olgar,KESMEZACAR HAYRETTIN Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate. Acta Orthopaedica et Traumatologica Turcica, vol.54, no.4, 2020, ss.364 - 371. 10.5152/j.aott.2020.20092
AMA	Demir M,Ertan Birsel S,salih m,Pirincci Y,Birsel O,KESMEZACAR H Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(4): 364 - 371. 10.5152/j.aott.2020.20092
Vancouver	Demir M,Ertan Birsel S,salih m,Pirincci Y,Birsel O,KESMEZACAR H Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate. Acta Orthopaedica et Traumatologica Turcica. 2020; 54(4): 364 - 371. 10.5152/j.aott.2020.20092
IEEE	Demir M,Ertan Birsel S,salih m,Pirincci Y,Birsel O,KESMEZACAR H "Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate." Acta Orthopaedica et Traumatologica Turcica, 54, ss.364 - 371, 2020. 10.5152/j.aott.2020.20092
ISNAD	Demir, Muhammed Taha vd. "Outcome after the surgical treatment of the Dubberley type B distal humeral capitellar and trochlear fractures with a buttress plate". Acta Orthopaedica et Traumatologica Turcica 54/4 (2020), 364-371. https://doi.org/10.5152/j.aott.2020.20092