지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.6
- 수록면
- 94 - 99 (6page)
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초록· 키워드
오류제보하기
Background: Intra-articular distal humeral fractures can be surgically challenging. It remains under discussion whether open reduction and internal fixation (ORIF) or total elbow arthroplasty (TEA) is more beneficial for treatment of the elderly. This study aimed to compare the clinical and functional outcomes of ORIF and TEA for managing intra-articular distal humerus fractures in patients aged 65 years or older.
Methods: Patients who underwent ORIF (n=28) or TEA (n=43) for in intra-articular distal humerus fracture between May 2008 and December 2018 were reviewed. Range of motion, Mayo Elbow Performance Score (MEPS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, radiologic outcomes, and surgical complications were evaluated at the final follow-up visit.
Results: The ORIF and TEA groups showed a mean arc of flexion–extension of 97°±21° and 101°±12°, respectively. The mean MEPS and DASH scores were 94±15 and 27±12 points, respectively, in the ORIF group and 81±27 and 47±28 points in the TEA group. This difference was statistically significant. The incidence of total complications was similar between the groups.
Conclusions: In patients older than 65 years with intra-articular distal humerus fracture, ORIF had better outcomes than TEA.
Methods: Patients who underwent ORIF (n=28) or TEA (n=43) for in intra-articular distal humerus fracture between May 2008 and December 2018 were reviewed. Range of motion, Mayo Elbow Performance Score (MEPS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, radiologic outcomes, and surgical complications were evaluated at the final follow-up visit.
Results: The ORIF and TEA groups showed a mean arc of flexion–extension of 97°±21° and 101°±12°, respectively. The mean MEPS and DASH scores were 94±15 and 27±12 points, respectively, in the ORIF group and 81±27 and 47±28 points in the TEA group. This difference was statistically significant. The incidence of total complications was similar between the groups.
Conclusions: In patients older than 65 years with intra-articular distal humerus fracture, ORIF had better outcomes than TEA.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (25)
참고문헌 신청
Robinson CM / 2003 / Adult distal humeral metaphyseal fractures : epidemiology and results of treatment / J Orthop Trauma 17:38~47
Zalavras CG / 2011 / Biomechanical evaluation of parallel versus orthogonal plate fixation of intra-articular distal humerus fractures / J Shoulder Elbow Surg 20:12~20
Shin SJ / 2010 / A clinical comparison of two different double plating methods for intraarticular distal humerus fractures / J Shoulder Elbow Surg 19:2~9
Hackl M / 2014 / Impingement of the posterolateral humeral plate : landmarks for prevention in double-plate osteosynthesis of distal humeral fractures / Obere Extremitat 9:186~191
Korner J / 2005 / Distal humerus fractures in elderly patients : results after open reduction and internal fixation / Osteoporos Int 16:S73~S79
Zalavras CG / 2011 / Biomechanical evaluation of parallel versus orthogonal plate fixation of intra-articular distal humerus fractures / J Shoulder Elbow Surg 20:12~20
Shin SJ / 2010 / A clinical comparison of two different double plating methods for intraarticular distal humerus fractures / J Shoulder Elbow Surg 19:2~9
Hackl M / 2014 / Impingement of the posterolateral humeral plate : landmarks for prevention in double-plate osteosynthesis of distal humeral fractures / Obere Extremitat 9:186~191
Korner J / 2005 / Distal humerus fractures in elderly patients : results after open reduction and internal fixation / Osteoporos Int 16:S73~S79
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