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Fırat Tıp Dergisi
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Comparison of Conservative, Intramedullary Nailing and Plate Osteosynthesis Treatment Results in Humerus Diaphysis Fractures
Ali Sami ŞEKER1, Şükrü DEMİR1, Oktay BELHAN1, Sefa KEY2, Murat GÜRGER1
1Fırat Üniversitesi Tıp Fakültesi, Ortopedi ve Travmatoloji Anabilim Dalı, Elazığ, Türkiye
2Bingöl Devlet Hastanesi, Ortopedi ve Travmatoloji Kliniği, Bingöl, Türkiye

Objective: We aimed to retrospectively compare and evaluate the results of intramedullary nailing, plaque osteosynthesis and conservative treatment in patients treated in our clinic due to humerus diaphysis fracture.

Material and Method: In Fırat University Faculty of Medicine, Clinics of Orthopedics and Traumatology, 79 patients who were treated with conser-vative, intramedullary nailing or plaque osteosynthesis between January 2013 and February 2019 and with sufficient data were included in the study. The clinical, functional and radiological findings of the patients were examined retrospectively.

Results: Seventy-nine patients were 59 males and 20 were females. When the fractures were grouped according to Arbeitsgemeinschaft für Os-teosynthesefragen (AO) classification, there were 50 patients (63%) of AO type A, 15 patients (19%) of AO type B, and 14 patients (18%) of AO type C fractures. Of the patients, 23 (29%) were treated with intamedullary nailing, 16 (20%) with conservative treatment, and 40 (51%) with plate osteosynthesis. In 73 (92%) of 79 patients, union was observed.

Conclusion: According to the Stewart-Huntley scoring system, the proportion of patients with excellent and good results was 74% in intramedullary nailing, 87% in conservative treatment and plate osteosynthesis. It was observed that the relationship between the three treatment methods and the QuickDASH score was significant.


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