Ada-Miller tip 2 ve tip 4 skapula kırıklarında anatomik çerçeve plak uygulaması
Amaç: Bu çalışmada Ada ve Miller Tip 2 ve 4 skapula kırıklarının anatomik çerçeve plak ile tedavi sonuçlarının prospektif olarak değerlendirilmesi amaçlandı. Çalışma planı: Dokuz hastada 11 Ada ve Miller Tip 2 veya 4 skapula kırığı anatomik çerçeve plak ile tedavi edildi. Ortalama takip süresi 39.8 (12-77) ay idi. Sonuçlar Herscovici skoru ile değerlendirildi. Bulgular: Nörovasküler yaralanma, ameliyat sonrası hematom, yüzeyel veya derin enfeksiyon, yara yeri iyileşme gecikmesi, implant yetersizliği, kaynama gecikmesi veya kaynamama gibi komplikasyonlar görülmedi. Herscovici skoruna göre sonuçlar mükemmeldi. Çıkarımlar: Anatomik çerçeve plaklama Ada ve Miller Tip 2 veya 4 skapula gövde ve glenoid boyun kırıklarında erken harekete izin veren ve mükemmel sonuçlar sağlayan bir osteosentez yöntemi olarak göze çarpmaktadır.
Anatomical frame plate osteosynthesis in Ada-Miller Type 2 or 4 scapula fractures
Objectives: The aim of this prospective study was to evaluate the results of anatomical frame plate osteosynthesis in patients with Ada and Miller Type 2 or 4 scapula fractures. Methods: Eleven Ada and Miller Type 2 or 4 scapula fractures in nine patients were treated with anatomical frame plate osteosynthesis. The mean follow-up time was 39.8 (12–77) months. The results were evaluated using the Herscovici score. Results: No complications, such as neurovascular injury, postoperative hematoma, infection, delayed wound healing, implant failure, delayed union, or nonunion occurred. Based on the Herscovici score, the results were excellent. Conclusion: Osteosynthesis with anatomical frame plates appears to be a safe method that allows early range of motion and that provides excellent results in Ada and Miller Type 2 or 4 scapula fractures.
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