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dc.contributor.authorKorkmaz, Mehmet Fatih
dc.contributor.authorAksu, Neslihan
dc.contributor.authorGoegus, Abdullah
dc.contributor.authorDebre, Muersel
dc.contributor.authorKara, Ayhan Nedim
dc.contributor.authorIsiklar, Zekeriya Ugur
dc.date.accessioned2019-08-13T12:10:23Z
dc.date.accessioned2019-08-13T16:05:25Z
dc.date.available2019-08-13T12:10:23Z
dc.date.available2019-08-13T16:05:25Z
dc.date.issued2008
dc.identifier.issn1017-995X
dc.identifier.urihttp://hdl.handle.net/11446/3484
dc.descriptionWOS: 000258834800006en_US
dc.descriptionPubMed ID: 18552530en_US
dc.description.abstractObjectives: Proximal and diaphyseal humeral fractures are common especially in the elderly, presenting as a challenging problem clue to their high complication rates following Surgical treatment. Ill this prospective Study, we evaluated the results of patients treated with the PHILOS (Proximal Humeral Internal Locking System) locking plate, a new technique recently developed by the AO/ASIF. Methods: Forty-one patients who were treated with the PHILOS plate for proximal humeral fractures were evaluated in two age groups. Group A included 24 patients (12 males. 12 females; mean age 47 years; range 24 to 64 years) younger than 65 years, and group B involved 17 patients (4 males, 13 females; mean age 78 years; range 67 to 90 years) at or above 65 years. Radiographically, all fractures were classified according to the AO/ASIF system. Surgery was performed with the deltopectoral approach in 10 and two patients, and with a deltoid split in 14 and 15 patients in group A and B, respectively. Functional and radiographic results were evaluated after a mean follow-up 01: 15 months (range 6 to 28 months). Results: The mean Constant scores were 95.0 (range 74 to 100) and 92.8 (range 72 to 100) in group A and B, respectively (p>0.05). After six months, Of Surgery, Constant scores and functional outcomes were similar patients operated on with the deltopectoral approach or deltoid split. There was neither nonunion nor implant failure. Complications included intra-articular screw penetration (n=1), displacement of the greater tuberculum (n=1) with oblique placement of the plate (n=1), insufficient reduction (n=4),and varus displacement of the humeral head (n=3). No avascular necrosis was seen. Conclusion: Locking plate system is Superior over other means of fixation methods, particularly in osteoporotic fractures, because it allows early rehabilitation and does not result in implant failure.en_US
dc.language.isoengen_US
dc.publisherTURKISH ASSOC ORTHOPAEDICS TRAUMATOLOGYen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectbone platesen_US
dc.subjectbone screwsen_US
dc.subjectfracture fixation. internal/methodsen_US
dc.subjecthumeral fractures/surgeryen_US
dc.subjectshoulder fractures/surgeryen_US
dc.titleThe results of internal fixation of proximal humeral fractures with the PHILOS locking plateen_US
dc.typearticleen_US
dc.relation.journalACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICAen_US
dc.contributor.departmentDBÜen_US
dc.identifier.issue2en_US
dc.identifier.volume42en_US
dc.identifier.startpage97en_US
dc.identifier.endpage105en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US


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