{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:59:36Z","timestamp":1763463576555,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated the functional results and the effectiveness of open reduction and low-profile plate and\/or screw fixation in the treatment of phalangeal fractures.\\r\\nMethods: The study included 17 patients (5 women, 12 men; mean age 33\u00b110 years; range 17 to 48 years) with closed, nonarticular phalangeal fractures. One patient had two phalangeal fractures. There were 14 proximal and four mid phalangeal fractures, including seven oblique, four spiral, one transverse, and six comminuted fractures. The mean duration from injury to surgery was 2.6\u00b12.9 days (range 0 to 11 days). Following open reduction, seven fractures were treated with a mini plate and screws, and 11 fractures with mini screws. For functional evaluations, total active motion (TARM) and grip strength were measured and the Q-DASH (Quick-Disabilities of the Arm, Shoulder and Hand) questionnaire was administered. The mean follow-up was 35\u00b120 months (range 12 to 75 months). \\r\\nResults: Union was obtained in all the patients in a mean of 4.5 months. At final assessments, TARM ranged from 160\u00b0 to 260\u00b0 (mean 200\u00b139.5\u00b0), showing excellent, good, and moderate results in six fingers (33.3%), five fingers (27.8%), and seven fingers (38.9%), respectively. An excellent or good TARM was obtained in eight fingers (72.2%) treated with mini screws, and in three fingers (42.9%) treated with plate-screw fixation. The mean grip strength decreased by 7.5% (range 0 to 20%) on the affected side. The mean Q-DASH score was 3.4\u00b14.4. According to the classification of complications proposed by Page and Stern, seven major (38.9%) and six minor (33.3%) complications were seen. Two patients (11.1%) had delayed union.\\r\\nConclusion: Our findings do not justify open reduction and low-profile plate and\/or screw fixation as the first choice in the treatment of phalangeal fractures. If plate and screw fixation is necessary, the most minimally invasive method such as screw fixation should be preferred.\n\n\u00d6zet\n\nAma\u00e7: A\u00e7\u0131k d\u00fczeltme ve mini plak ve\/veya vida ile tespit uygulanan falanks k\u0131r\u0131klar\u0131n\u0131n fonksiyonel sonu\u00e7lar\u0131 ve y\u00f6ntemin etkinli\u011fi de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya, eklemi ilgilendirmeyen falanks k\u0131r\u0131\u011f\u0131 olan 17 hasta (5 kad\u0131n, 12 erkek; ort. ya\u015f 33\u00b110; da\u011f\u0131l\u0131m 17-48) al\u0131nd\u0131. Bir hastada iki parmakta k\u0131r\u0131k vard\u0131. K\u0131r\u0131klar\u0131n 14\u2019\u00fc proksimal, d\u00f6rd\u00fc orta falankstayd\u0131. K\u0131r\u0131klar\u0131n yedisi oblik, d\u00f6rd\u00fc spiral, biri transvers, alt\u0131s\u0131 par\u00e7al\u0131 k\u0131r\u0131k idi. K\u0131r\u0131klar\u0131n hepsi kapal\u0131yd\u0131. Hastalar k\u0131r\u0131k olu\u015ftuktan ortalama 2.6\u00b12.9 g\u00fcn (da\u011f\u0131l\u0131m 0-11 g\u00fcn) sonra ameliyat edildi. A\u00e7\u0131k red\u00fcksiyondan sonra, yedi k\u0131r\u0131kta mini plak ve vidalar, 11 k\u0131r\u0131kta sadece mini vidalar ile tespit sa\u011fland\u0131. Fonksiyonel sonu\u00e7lar i\u00e7in parmaktaki toplam aktif eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 (TAEHA) ve kavrama g\u00fcc\u00fc \u00f6l\u00e7\u00fcld\u00fc ve Q-DASH (Quick-Disabilities of the Arm, Shoulder and Hand) sorgulamas\u0131 uyguland\u0131. Hastalar ortalama 35\u00b120 ay (da\u011f\u0131l\u0131m 12-75 ay) takip edildi. \\r\\nSonu\u00e7lar: T\u00fcm hastalarda ortalama 4.5 ayda kaynama elde edildi. Son kontrollerde ortalama TAEHA de\u011feri 200\u00b139.5\u00b0 (da\u011f\u0131l\u0131m 160\u00b0-260\u00b0) hesapland\u0131. Bu a\u00e7\u0131dan, alt\u0131 parmakta (%33.3) m\u00fckemmel, be\u015f parmakta (%27.8) iyi, yedi parmakta (%38.9) orta sonu\u00e7 al\u0131nd\u0131. Mini vidalar ile tespit sa\u011flanan 11 k\u0131r\u0131\u011f\u0131n sekizinde (%72.7), mini plak ve vidalar ile tespit sa\u011flanan yedi k\u0131r\u0131\u011f\u0131n \u00fc\u00e7\u00fcnde (%42.9) m\u00fckemmel veya iyi TAEHA elde edildi. Ameliyat edilen elde kavrama g\u00fcc\u00fcnde sa\u011flam tarafa g\u00f6re ortalama %7.5 (da\u011f\u0131l\u0131m %0-%20) azalma g\u00f6r\u00fcld\u00fc. Q-DASH skoru ortalama 3.4\u00b14.4 bulundu. Page ve Stern s\u0131n\u0131flamas\u0131na g\u00f6re, yedi \u00f6nemli (%38.9), alt\u0131 hafif (%33.3) komplikasyon g\u00f6r\u00fcld\u00fc. \u0130ki parmakta (%11.1) kaynama gecikmesi g\u00f6zlendi. \\r\\n\u00c7\u0131kar\u0131mlar: Cerrahi m\u00fcdahale gerektiren falanks k\u0131r\u0131klar\u0131nda a\u00e7\u0131k red\u00fcksiyon ve plak ya da vida tespiti ilk se\u00e7enek de\u011fildir. E\u011fer a\u00e7\u0131k d\u00fczeltme ve internal tespit yap\u0131lmas\u0131 gerekliyse, m\u00fcmk\u00fcn olan en minimal invaziv y\u00f6ntem (vida tespiti gibi) kullan\u0131lmal\u0131d\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2009.317","type":"journal-article","created":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T07:42:43Z","timestamp":1254382963000},"page":"317-323","source":"Crossref","is-referenced-by-count":12,"title":["Open reduction and lowprofile plate and\/or screw fixation in the treatment of phalangeal fractures"],"prefix":"10.5152","volume":"43","author":[{"given":"Ufuk","family":"Nalbantoglu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arel","family":"Gereli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Feridun","family":"Cilli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bekir","family":"Yavuz Ucar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Metin","family":"Turkmen","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\/2289\/2246","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:30Z","timestamp":1763463450000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2289"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2009,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.317","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]]}}}