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  • Küçük Resim
    Öğe
    The effect of the cerclage wire in the treatment of subtrochanteric femur fracture with the long proximal femoral nail: A review of 52 cases
    (Elsevier Science Bv, 2018) Kılınç, Bekir Eray; Oc, Yunus; Kara, Adnan; Ertürer, Ramazan Erden
    Introduction: To present the effect of the cerclage fixation, which was performed for the purpose of preserving the alignment obtained by open reduction, on the long-term clinical and radiological results of subtrochanteric fractures. Materials and methods: The inclusion criterias were at least 2 years of follow-up, no severe cognitive impairment, and to be able to walk independently prior to fracture. Patients with transverse or short oblique subtrochanteric hip fractures (AO/OTA class 32-A3.1), patients underwent previous femoral or hip operation for the same side and those with segmental fractures, bilateral fractures and pathological fractures were not included in the study. The clinical and radiological results of the patients were evaluated. The clinical evaluations were performed with Palmer and Parker Mobility Score (PPM), Lower Extremity Functional Score (LEFS), visual analogue score (VAS) and return to pre-injury activity status. The elapsed time between the trauma and the surgery date, the duration of surgery the estimated amount of bleeding, and the length of hospital stay of patients were assessed. Results: Thirty-two of the 52 patients were female and 20 were male. The mean age of females was 77.80 +/- 9.75 years and the mean age of the males was 79.18 +/- 6.50 years. The mean follow-up period of the patients was 62.25 +/- 34.68 months. The mean time until the patients' surgery was 6.18 +/- 3.32 days. The mean duration of surgery was 52.6 +/- 13.8 min. The mean amount of bleeding was 176 +/- 90 ml. The mean length of patients' hospital stay was 6.2 +/- 3.2 days. The postoperative mean duration of union was found to be 3.8 +/- 1.6 months. The mean value of varus/valgus angulation in coronal plane measurements was 0.52 degrees. No complication was observed in any patient during the cerclage application. The mean number of wire was 1.3. LEFS difference was statistically significant. PPM decline was not statistically significant. Conclusion: Open reduction and the use of cerclage did not produce a negative effect in terms of fracture union. The generation of medial support by anatomical reduction of the fracture prevents the implant failure and provide a basis for union.
  • Küçük Resim
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    Treatment of midshaft clavicle fracture with superior plate placement
    (Atha Comunicacao & Editora, 2020) Kılınç, Bekir Eray; Oc, Yunus; Ertürer, Ramazan Erden
    Objective: To evaluate the late clinical and radiological results of patients had locking plate anatomically compatible from superior surface and muscle cover on plate due to clavicle mid-region. Materials and Methods: Forty patients were included retrospectively. Patients had a routine right shoulder anterior posterior graph after examination. The results were assessed by returning to the patient's daily activities, Constant score, the Disability of the Arm, and Shoulder and Hand scoring, followed by radiological and clinical examination. Results: Fourteen (35%) patients were female and 26 (65%) were male. The mean age was 36.2 years. Twenty-six patients had right clavicle fracture and 14 patients had left. Twenty-three fractures were type 2B1 and 17 fractures were type 2B2. Mean follow-up time was 36.4 months. Radiologic union was at a mean of 9.1 +/- 1.3 weeks. All patients had excellent results. The mean Constant score was 97.2 +/- 1.8, the mean Disability of the Arm, and Shoulder and Hand score was 3.8 +/- 2.4. Conclusion: It is possible to obtain complete union with high patient satisfaction by avoiding the complications and difficulties of the conservative treatment with the use of the anatomically compatible locking plates in superior fixation and our surgical dissection.