{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,17]],"date-time":"2025-12-17T08:36:53Z","timestamp":1765960613598,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated functional results of patients treated with open reduction and internal fixation with the parallel-plate technique for complex distal humerus fractures.\\r\\nMethods: Twenty-one patients (14 males, 7 females; mean age 47 years; range 16 to 85) underwent open reduction with olecranon osteotomy and internal fixation with the parallel-plate technique for distal humerus fractures accompanied by highly intra-articular or metaphyseal comminution (n=10), intra-articular comminution and osteoporosis (n=7), and intra-articular and metaphyseal comminution with bone loss (n=4). According to the AO classification, there were 12 C3, six C2, and three C1 type fractures. Eight patients had open fractures. The mean time to surgery was six days (range 1 to 17 days). Functional results were evaluated using the Mayo elbow performance score, Jupiter elbow score, and DASH (Disabilities of the Arm, Shoulder and Hand) score. The mean follow-up was 28 months (range 12 to 48 months).\\r\\nResults: The mean total range of motion was 90.2\u00b131.1\u00b0, flexion was 118.1\u00b117.4\u00b0, and extension was 27.8\u00b117.4\u00b0. The mean Mayo elbow performance score and DASH score were 86.1\u00b112.6 and 7.6\u00b19.5, respectively. According to the Jupiter elbow scores, the results were excellent in seven patients, good in 11 patients, moderate in two patients, and poor in one patient. Radiographically, solid union was achieved in all the patients. Heterotopic ossification of varying degrees was seen in seven patients, two of whom underwent resection of heterotopic ossification due to severe limitation of movement. Debridement was performed in one patient due to the development of deep infection. Chondrolysis of the elbow occurred in one patient. Patients with open fractures had significantly lower range of motion than those with closed fractures (p&lt;0.05), but the Mayo elbow performance score and DASH score did not differ significantly in this respect (p&gt;0.05).\\r\\nConclusion: Functional results are satisfactory in distal humerus fractures treated with stable osteosynthesis and parallel-plate technique that allow early active motion.\n\n\u00d6zet\n\nAma\u00e7: Kompleks humerus distal u\u00e7 k\u0131r\u0131\u011f\u0131 nedeniyle a\u00e7\u0131k red\u00fcksiyon ve paralel plak tekni\u011fiyle internal tespit uygulanan hastalar\u0131n fonksiyonel sonu\u00e7lar\u0131 de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Kompleks distal u\u00e7 humerus k\u0131r\u0131\u011f\u0131 nedeniyle 21 hasta (14 erkek, 7 kad\u0131n; ort. ya\u015f 47; da\u011f\u0131l\u0131m 16-85) olekranon osteotomisi ile a\u00e7\u0131k red\u00fcksiyon ve paralel plak tekni\u011fiyle tedavi edildi. K\u0131r\u0131klara ileri derecede eklemi\u00e7i veya metafizer par\u00e7alanma (n=10), eklemi\u00e7i par\u00e7alanma ve osteoporotik \u00f6zellikler (n=7), eklemi\u00e7i ve metafizer par\u00e7alanma ile birlikte kemik kayb\u0131 (n=4) e\u015flik etmekteydi. AO s\u0131n\u0131flamas\u0131na g\u00f6re, k\u0131r\u0131klar\u0131n 12\u2019si C3, alt\u0131s\u0131 C2, \u00fc\u00e7\u00fc C1 k\u0131r\u0131k idi. Sekiz hastada a\u00e7\u0131k k\u0131r\u0131k vard\u0131. K\u0131r\u0131k ile ameliyat zaman\u0131 aras\u0131ndaki s\u00fcre ortalama alt\u0131 g\u00fcn (da\u011f\u0131l\u0131m 1-17 g\u00fcn) idi. Fonksiyonel sonu\u00e7lar Mayo dirsek performans skoru, Jupiter dirsek skoru ve Kol, Omuz ve El Engellilik (DASH) skoru ile de\u011ferlendirildi. Ortalama takip s\u00fcresi 28 ay (da\u011f\u0131l\u0131m 12-48 ay) idi.\\r\\nSonu\u00e7lar: Toplam hareket a\u00e7\u0131kl\u0131\u011f\u0131 ortalama 90.2\u00b131.1\u00b0, fleksiyon 118.1\u00b117.4\u00b0, ekstansiyon 27.8\u00b117.4\u00b0 bulundu. Mayo dirsek performans skoru ortalama 86.1\u00b112.6, DASH skoru 7.6\u00b19.5 idi. Jupiter dirsek skoruna g\u00f6re sonu\u00e7lar yedi hastada m\u00fckemmel, 11 hastada iyi, iki hastada orta, bir hastada k\u00f6t\u00fc olarak de\u011ferlendirildi. Radyografik olarak, hi\u00e7bir hastada kaynama sorunuyla kar\u015f\u0131la\u015f\u0131lmad\u0131. Yedi hastada (%33.3) de\u011fi\u015fik derecelerde heterotopik ossifikasyon g\u00f6r\u00fcld\u00fc; iki hastaya ciddi hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131 nedeniyle heterotopik ossifikasyon rezeksiyonu yap\u0131ld\u0131. Bir hastada derin enfeksiyon nedeniyle debridman yap\u0131ld\u0131. Bir hastada ise dirsek ekleminde kondroliz geli\u015fti. A\u00e7\u0131k k\u0131r\u0131kl\u0131 hastalar\u0131n hareket a\u00e7\u0131kl\u0131\u011f\u0131 anlaml\u0131 derecede daha d\u00fc\u015f\u00fck bulunurken (p&lt;0.05), Mayo dirsek performans ve DASH skorlar\u0131 kapal\u0131 k\u0131r\u0131kl\u0131 hastalardan farkl\u0131l\u0131k g\u00f6stermedi (p&gt;0.05). \\r\\n\u00c7\u0131kar\u0131mlar: Erken harekete izin verecek stabilitede osteosentez tekni\u011fi ve paralel plaklama tekni\u011fi ile tedavi edilen distal humerus k\u0131r\u0131klar\u0131nda fonksiyonel sonu\u00e7lar tatmin edicidir.<\/jats:p>","DOI":"10.3944\/aott.2009.021","type":"journal-article","created":{"date-parts":[[2009,3,18]],"date-time":"2009-03-18T10:27:50Z","timestamp":1237372070000},"page":"21-27","source":"Crossref","is-referenced-by-count":27,"title":["Functional results of the parallelplate technique for complex distal humerus fractures"],"prefix":"10.5152","volume":"43","author":[{"given":"Ata","family":"Can lar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Demirhan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmet","family":"Salduz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Onder","family":"Kilicoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aksel","family":"Seyahi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2234\/2191","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:00:42Z","timestamp":1763463642000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2234"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2009,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.021","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}