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The Archives of Bone and Joint Surgery، جلد ۱۱، شماره ۸، صفحات ۵۰۳-۵۰۹
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عنوان انگلیسی Outcomes of the Pin and Plate Technique in Complex Fractures and Non:union:s of Distal Humerus
چکیده انگلیسی مقاله Objectives: This study investigates outcomes and complications of the pin and plate fixation technique, which was suggested for distal humerus fractures. It also reports the results of its application in non:union:s for the first time.Methods: Forty-nine fracture and 17 non:union: cases who underwent surgery using the technique and were followed for at least 18 months were assessed through the range of motion (ROM), Quick Disabilities of the Arm, Shoulder, and Hand Score (Quick-DASH), Mayo Elbow Performance Score (MEPS), four-category verbal rating scale (VRS4), and complications.Results: At the last follow-up, the mean scores of flexion, extension deficit, supination, and pronation ranges in fracture cases were 116.7, 22.9, 90.0, and 90.0 degrees, respectively. These values in non:union: cases were 112.2, 26.4, 86.7, and 85.5 degrees, respectively. The average ROM in fracture cases was 93.8, while it was 85.8 degrees in non:union: cases. The mean Quick-DASH in fracture and non:union: patients were 25.2 and 31.1, respectively. According to the MEPS, 77.5% of fracture and 64.7% of non:union: patients had excellent and good results. In fracture cases, the mean scores of VRS-4 at rest, light activity, and hard activity were 1.3, 1.8, and 2.3, respectively. These values in non:union: cases were 1.8, 2.2, and 2.5, respectively. The most common complications were device prominence and ulnar neuropathy.Conclusion: An acceptable :union: rate and proper elbow function can be expected by using this technique. Owing to the promising results of this study, further high-quality studies are recommended. Hereby this technique is called Persian Fixation. Level of evidence: IV
کلیدواژه‌های انگلیسی مقاله Fracture fixation, Humeral fractures, humerus, Humerus non:union:, Orthopedic Fixation Devices
نویسندگان مقاله | Mehdi Komijani
Department of Orthopedics, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran


| Ahmad Shamabadi
1 Department of Orthopedics, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran 2 School of Medicine, Tehran University of Medical Sciences, Tehran, Iran


| Leila Oryadi Zanjani
1 Department of Orthopedics, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran 3 Center of Orthopedic Trans-Disciplinary Applied Research (COTAR), School of Medicine, Tehran University of Medical Sciences, Tehran, Iran


| Mohammad Hossein Nabian
1 Department of Orthopedics, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran 2 School of Medicine, Tehran University of Medical Sciences, Tehran, Iran 3 Center of Orthopedic Trans-Disciplinary Applied Research (COTAR), School of Medicine, Tehran University of Medical Sciences, Tehran, Iran


| Behnam Panjavi
Department of Orthopedics, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran


| Reza Shahriar Kamrani
Department of Orthopedics, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
نشانی اینترنتی https://abjs.mums.ac.ir/article_22760.html
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