کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4076170 1267066 2010 8 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Large coronal shear fractures of the capitellum and trochlea treated with headless compression screws
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Large coronal shear fractures of the capitellum and trochlea treated with headless compression screws
چکیده انگلیسی

BackgroundThe purpose of this study is to retrospectively evaluate the clinical outcomes of 18 patients with large coronal shear fractures of the capitellum and lateral trochlea that underwent open reduction and internal fixation with headless compression screws.MethodsEighteen patients were identified (16 women, 2 men) with an average age of 45 years and an average follow-up of 26 months. Fractures were classified according to the Dubberley classification as 11 type-1A injuries and 7 type-2A injuries.ResultsAll patients, with the exception of 1, had good to excellent functional results by the Broberg-Morrey scale (mean score, 93.3). Average arc of motion was 128° in flexion/extension and 176° in pronation/supination. Radiographically, 3 patients had subsequent development of avascular necrosis and 5 developed arthrosis. No significant negative correlation was noted between the development of avascular necrosis and clinical outcome. Minor complications occurred in 2 patients, but there were no re-operations.ConclusionHeadless compression screw fixation allows for stable fixation in patients with large coronal shear fractures of the distal humerus without posterior comminution.Level of Evidence4

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Shoulder and Elbow Surgery - Volume 19, Issue 1, January 2010, Pages 38–45
نویسندگان
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