{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:04:25Z","timestamp":1763463865787,"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 the indications and disadvantages of percutaneous technique for proximal humerus fractures in relation to complications encountered in osteoporotic elderly patients and the importance of patient selection.\\r\\nMethods: The study included 18 patients (10 men, 8 women; mean age 48 years; range 14 to 89 years) who underwent percutaneous fixation (closed reduction and pin fixation with K-wires or Schanz screws) for proximal humerus fractures. Eight patients were beyond 60 years of age. According to the Neer classification, five patients had two-part, 13 patients had three-part neck fractures. The patients were evaluated with range of motion of the shoulder, radiographs, and the Disability of Arm Shoulder and Hand questionnaire (DASH). The mean follow-up was 23 months (range 8 to 60 months).\\r\\nResults: The mean shoulder abduction was 134\u00ba (range 30\u00ba to 160\u00ba) and the mean elevation was 118\u00ba (range 30\u00ba to 140\u00ba). Full range of motion of the shoulder was achieved in 11 patients (61.1%), including all with two-part fractures. Abduction losses of 60\u00ba to 130\u00ba and less than 30\u00ba were seen in four patients and three patients, respectively, all of whom were older than 60 years. The mean DASH score was 18 (range 0 to 77). Fourteen patients having a score of less than 10 had no pain or functional complaints. Four patients with a score of more than 10 were older than 70 years. Pin migration was observed in seven patients (38.9%), all of whom were over 60 years of age. One patient required revision with partial prosthesis. Nonunion was seen in one patient (5.6%) and malunion with a varus\/valgus deformity occurred in four patients (22.2%). None of the patients developed avascular necrosis. \\r\\nConclusion: Percutaneous fixation may be preferred in the treatment of two-part and carefully-selected three-part proximal humerus fractures. Due to high complication rate, patient selection is of primary importance among elderly patients.\n\n\u00d6zet\n\nAma\u00e7: Proksimal humerus k\u0131r\u0131klar\u0131nda perk\u00fctan tespitin endikasyonlar\u0131, y\u00f6ntemin dezavantajlar\u0131, osteoporotik ya\u015fl\u0131 hasta grubunda ya\u015fanan sorunlar ve hasta se\u00e7iminin \u00f6nemi de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmada, proksimal humerus boyun k\u0131r\u0131\u011f\u0131 nedeniyle perk\u00fctan tespit uygulanan 18 hasta (10 erkek, 8 kad\u0131n; ort. ya\u015f 48; da\u011f\u0131l\u0131m 14-89) incelendi. Bu hastalar\u0131n sekizi 60 ya\u015f\u0131n \u00fczerindeydi. Neer s\u0131n\u0131flamas\u0131na g\u00f6re be\u015f hastada iki par\u00e7al\u0131, 13 hastada \u00fc\u00e7 par\u00e7al\u0131 k\u0131r\u0131k vard\u0131. Hastalara kapal\u0131 yerle\u015ftirme, perk\u00fctan kal\u0131n K-teli veya Schanz vidas\u0131 ile tespit uyguland\u0131. Ortalama 23 ay (da\u011f\u0131l\u0131m 8-60 ay) takip sonunda hastalar\u0131n omuz hareket a\u00e7\u0131kl\u0131\u011f\u0131 ve omuz grafileri de\u011ferlendirildi ve Kol Omuz ve El Sorunlar\u0131 Anketi (DASH-T) uyguland\u0131.\\r\\nSonu\u00e7lar: Hastalar\u0131n omuz abd\u00fcksiyonu ortalama 134\u00ba (da\u011f\u0131l\u0131m 30\u00ba-160\u00ba), elevasyonu 118\u00ba (da\u011f\u0131l\u0131m 30\u00ba-140\u00ba) bulundu. Hareket a\u00e7\u0131kl\u0131\u011f\u0131, iki par\u00e7al\u0131 k\u0131r\u0131klar\u0131n hepsinde olmak \u00fczere, 11 hastada (%61.1) tamd\u0131. D\u00f6rt hastada 60\u00ba-130\u00ba aras\u0131nda, \u00fc\u00e7 hastada ise 30 derecenin alt\u0131nda abd\u00fcksiyon kayb\u0131 izlendi. Abd\u00fcksiyon kayb\u0131 g\u00f6r\u00fclen hastalar\u0131n hepsi 60 ya\u015f\u0131n \u00fczerindeydi. Fonksiyonel de\u011ferlendirmede DASH-T skoru ortalamas\u0131 18 (da\u011f\u0131l\u0131m 0-77) bulundu. Skorun 10\u2019un alt\u0131nda oldu\u011fu 14 hastada a\u011fr\u0131 ve fonksiyonel \u015fikayet yoktu. Skoru 10\u2019dan y\u00fcksek olan d\u00f6rt hastan\u0131n hepsi 70 ya\u015f\u0131n \u00fczerindeydi. \u00c7ivi migrasyonu yedi hastada (%38.9) meydana geldi. Bu hastalar\u0131n hepsi 60 ya\u015f \u00fczerindeydi. Bir hastada parsiyel protez uygulamas\u0131 yap\u0131ld\u0131. Kaynamama bir hastada (%5.6), varus\/valgus yanl\u0131\u015f kaynama d\u00f6rt hastada (%22.2) g\u00f6zlendi. Hi\u00e7bir hastada avask\u00fcler nekroz g\u00f6r\u00fclmedi.\\r\\n\u00c7\u0131kar\u0131mlar: Proksimal humerus k\u0131r\u0131klar\u0131nda perk\u00fctan tespit, iki par\u00e7al\u0131 ve iyi se\u00e7ilmi\u015f \u00fc\u00e7 par\u00e7al\u0131 k\u0131r\u0131klarda tercih edilebilir. Ya\u015fl\u0131 hastalarda komplikasyon oran\u0131n\u0131n y\u00fcksek olmas\u0131 nedeniyle hasta se\u00e7imi dikkatli yap\u0131lmal\u0131d\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2009.035","type":"journal-article","created":{"date-parts":[[2009,3,18]],"date-time":"2009-03-18T10:27:50Z","timestamp":1237372070000},"page":"35-41","source":"Crossref","is-referenced-by-count":6,"title":["The importance of patient selection for the treatment of proximal humerus fractures with percutaneous technique"],"prefix":"10.5152","volume":"43","author":[{"given":"Murat","family":"Kayalar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tulgar","family":"Toros","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emin","family":"Bal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kemal","family":"Ozkasar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusuf","family":"Gurbuz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yalcin","family":"Ademoglu","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\/2236\/2193","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:00:40Z","timestamp":1763463640000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2236"}},"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.2009.035","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]]}}}