{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T02:43:39Z","timestamp":1791513819204,"version":"4.3.4"},"reference-count":25,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2018,2,27]],"date-time":"2018-02-27T00:00:00Z","timestamp":1519689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective\nThe aim of this study was to describe an alternative fixation method for distal humeral extra-articular fractures through posterior approach using distal tibia anatomic locking plate; and to evaluate the patient's functional outcome and union condition.\nMethods\nEighteen patients (11 men and 7 women; average age of 37.0 \u00b1 17.3 years (range: 18\u201373 years)) with a distal humeral extra-articular fracture who were treated with distal tibial medial locking plate were included into the study. The mean follow up time was 36.2 \u00b1 16.7 (12\u201357) months. Functional results were evaluated with perception of pain, range of joint motion, grasp and pinch strengths.\nResults\nUnion was achieved in 17 of 18 patients. Only one patient had non-union due to infection and underwent debridement. The mean time for union was 7.8 \u00b1 5.9 months (2\u201320). Patient perception of pain was X = 1.88 \u00b1 2.50 and X = 4.55 \u00b1 2.68, respectively, at rest and activity. The active ranges of joint motion were adequate for functional use. General functional state of affected extremity (DASH-T) was perfect (X = 27.14 \u00b1 25.66), the performance of elbow joint was good (X = 84.44 \u00b1 11.57). There were no differences in the comparison of grasp and pinch grip of patients with uninvolved extremity (p &gt; 0.05).\nConclusions\nIn distal humeral extra-articular fractures, use of distal medial tibia plate has advantages such as providing high rates for union, low rates for complication, and early return to work with early rehabilitation, therefore it may be considered a fixation choice that can be used for distal humeral extra-articular fractures.\nLevel of evidence\nLevel IV, therapeutic study.\nER -<\/jats:p>","DOI":"10.1016\/j.aott.2018.02.012","type":"journal-article","created":{"date-parts":[[2018,5,4]],"date-time":"2018-05-04T08:46:46Z","timestamp":1525423606000},"page":"294-298","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":5,"title":["Distal medial tibial locking plate for fixation of extraarticular distal humeral fractures; an alternative choice for fixation"],"prefix":"10.5152","volume":"52","author":[{"given":"Ali","family":"Cagdas YORUKOGLU","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmet","family":"Fahir DEM\u0130RKAN","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nihal","family":"BUKER","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"issue":"2","key":"10.1016\/j.aott.2018.02.012_bib1","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1007\/s00264-008-0537-8","article-title":"The epidemiology of traumatic humeral shaft fractures in Taiwan","volume":"33","author":"Tsai","year":"2009","journal-title":"Int Orthop"},{"issue":"8","key":"10.1016\/j.aott.2018.02.012_bib2","doi-asserted-by":"crossref","first-page":"569","DOI":"10.1055\/s-0028-1090623","article-title":"Management of radial nerve injury associated with humeral shaft fractures: an evidence-based approach","volume":"24","author":"Elton","year":"2008","journal-title":"J\u00a0Reconstr Microsurg"},{"issue":"3","key":"10.1016\/j.aott.2018.02.012_bib3","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.jse.2012.06.007","article-title":"Plate versus intramedullary nail fixation in the treatment of humeral shaft fractures: an updated meta-analysis","volume":"22","author":"Ouyang","year":"2013","journal-title":"J\u00a0Shoulder Elbow Surg"},{"issue":"2","key":"10.1016\/j.aott.2018.02.012_bib4","doi-asserted-by":"crossref","first-page":"148","DOI":"10.3109\/17453679108999244","article-title":"Treatment of humeral shaft fractures related to associated injuries. 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