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    Clinical results of volar locking plate fixation in radius distal fractures
    (2020) Umur, Fazli Levent; Sari, Enes
    Aim: This study aimed to evaluate the results of 41 surgically treated radius distal fracture patients. Average follow-up time was 9.8 months (6-19) and mean age was 44.04 (20-81). All patients treated surgically with volar locking plate between the dates October 2010 and November 2018. Material and Methods: There were 11 type A2 (26%), 10 type C2 (24%), 4 type A3 (9%), 3 type B1 (7%), 3 type B3 (8%), 6 type C3 (14%) and 4 type C1 (9%) fractures, respectively according to the AO Classification System. Stewart’s radiological criteria and range of motion were used in clinical and radiological evaluation. QuickDASH-T and Gartland-Werley scores were used for functional assessment.Results: Twenty-three patients (56%) had excellent, 14 patients (34%) had good and 4 patients (9%), respectively had moderate functional scores according to Gartland-Werley scoring scale. Thirty-four patients (83%) were excellent and 7 patients (17%) were good, respectively according to Stewart’s radiological criteria. Average QuickDASH-T score was 5.92 (0-22.7) and average Gartland-Werley score was 3.26 (0-13). Two patients suffered reflex sympathetic dystrophy as a complication.Conclusion: Volar locking plating in distal radius fractures is a reliable treatment method with successful results with careful preoperative planning, attentive surgical approach and systematical rehabilitation. It should be considered as treatment of choice for all but especially active and demanding patients.
  • Küçük Resim
    Öğe
    The evaluation of results in minimally invasive plate osteosynthesis for tibial shaft and 1/3 distal tibia fractures
    (2019) Sari, Enes; Cakmak, Selami; Umur, Fazli Levent
    Aim: Our study aims to retrospectively evaluate the clinical, radiological and functional results of MIPO (minimally invasive plate osteosynthesis) in the treatment of tibial shaft and tibia distal 1/3 fractures.Material and Methods: Seventeen patients who underwent MIPO surgery due to tibial shaft and tibia distal 1/3 fractures between March 2011 – March 2015 were included in this study. Several parameters evaluated including radiological union, full-weight bearing, alignment problems, soft tissue complications, implant irritation, implant removal and AOFAS Score.Results: The most common fractures were noted as 42-A1, 42-B1 and 43-A1 according to AO/OTA Classification. The average follow-up period was 29.5 months (5-47 months). The average time for union was 4.7 months (2.5-10 months). The average period for full weight-bearing was 5.2 months (1-12 months). One patient (5.8%) had malunion (6 degrees of anterior angulation). Ten (58.8%) patients had complaints about medial sided ankle pain with wearing long boots. Three patients (17.6%) underwent implant removal. Average AOFAS score was 85.7 (63-100).Conclusion: MIPO is a safe and effective method for the tibial shaft and the tibia distal 1/3 region fractures regarding the high union rates, low complication incidence and good functional results.Keywords: Distal tibia fracture; MIPO; minimally invasive; biological fracture fixation; bone union.