{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T23:11:22Z","timestamp":1790205082774,"version":"4.1.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated the complications encountered following locking plate fixation of proximal humerus fractures.\\r\\nMethods: The study included 103 patients (70 females, 33 males; mean age 62 years; range 21 to 90 years) who were treated with open reduction and locking plate fixation for proximal humerus fractures between September 2005 and April 2009. Fixation was performed using the PHILOS locking plate in 93 patients, and S3 humerus plate in 10 patients. Postoperatively, a shoulder-arm sling was applied for six weeks and a standard rehabilitation program was used in all the patients. Intraoperative, acute postoperative, and late postoperative complications were assessed on radiographs. Varus inclination was defined as less than 120 degrees of the inclination angle on immediate postoperative radiographs, and varus displacement as postoperative increases in the varus angle. The mean follow-up period was 19 months (range 2 weeks to 43 months). \\r\\nResults: Complications were seen in 10 patients (9.7%; mean age 67 years). The PHILOS plate was used in nine patients and S3 plate was used in one patient. Five patients (4.9%) had varus inclination with a mean inclination angle of 112.6\u00b0 (range 105\u00b0 to 118\u00b0), four patients (3.9%) developed varus displacement with a mean inclination angle of 102.5\u00b0 (range 95\u00b0 to 110\u00b0), and intra-articular screw penetration was seen in five patients (4.9%). The remaining complications were fixation failure (n=1, 1%), implant fracture (n=1), and deep infection (n=1). Screw penetration exceeded 3 mm in three patients, requiring revision surgery. The mean ages of patients with varus inclination, varus displacement, and screw penetration were 76.6, 74.4, and 71 years, respectively. Three patients with varus inclination (60%) developed varus displacement. Screw penetration was observed in three patients (60%) with varus inclination, and in all patients with varus displacement. The mean Constant-Murley shoulder score was 67.8 (range 50 to 90) in patients who developed a complication.\\r\\nConclusion: Our findings show that locking plate and screw systems represent a significant treatment option in the treatment of comminuted and displaced humerus fractures, with low complication rates. Accurate indication, protection of the head\u2019s inclination angle through appropriate surgical approach and proper technique, and fine calculation of screw length are essential for successful functional results.\n\n\u00d6zet\n\nAma\u00e7: Proksimal humerus k\u0131r\u0131klar\u0131n\u0131n kilitli plak ile cerrahi tedavisinde g\u00f6r\u00fclen komplikasyonlar de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Eyl\u00fcl 2005 ve Nisan 2009 tarihleri aras\u0131nda klini\u011fimizde proksimal humerus k\u0131r\u0131\u011f\u0131 nedeniyle a\u00e7\u0131k red\u00fcksiyon ve kilitli plakla tedavi edilen 103 hasta (70 kad\u0131n, 33 erkek; ort. ya\u015f 62; da\u011f\u0131l\u0131m 21-90) de\u011ferlendirmeye al\u0131nd\u0131. Tespit i\u00e7in 93 hastada PHILOS pla\u011f\u0131, 10 hastada S3 humerus pla\u011f\u0131 kullan\u0131ld\u0131. Ameliyat sonras\u0131nda hastalara alt\u0131 hafta omuz kol ask\u0131s\u0131 ve standart rehabilitasyon program\u0131 uyguland\u0131. Hastalar\u0131n radyografik takiplerinde ameliyat s\u0131ras\u0131ndaki, akut ameliyat sonras\u0131 ve ge\u00e7 ameliyat sonras\u0131 d\u00f6nemdeki komplikasyonlar ara\u015ft\u0131r\u0131ld\u0131. Ameliyattan hemen sonra \u00e7ekilen radyografilerde inklinasyon a\u00e7\u0131s\u0131n\u0131n 120 derecenin alt\u0131nda olmas\u0131 varus a\u00e7\u0131lanmas\u0131 olarak, varus a\u00e7\u0131s\u0131n\u0131n ameliyat sonras\u0131nda artmas\u0131 varus yer de\u011fi\u015ftirmesi olarak kabul edildi. Ortalama takip s\u00fcresi 19 ay (da\u011f\u0131l\u0131m 2 hafta-43 ay) idi.\\r\\nSonu\u00e7lar: On hastada (%9.7; ort. ya\u015f 67) komplikasyon g\u00f6r\u00fcld\u00fc. Bu olgular\u0131n dokuzunda PHILOS, birinde S3 pla\u011f\u0131 kullan\u0131lm\u0131\u015ft\u0131. Be\u015f hastada (%4.9) varus a\u00e7\u0131lanmas\u0131 (inklinasyon a\u00e7\u0131s\u0131 ort. 112.6\u00b0; da\u011f\u0131l\u0131m 105\u00b0-118\u00b0), d\u00f6rt hastada (%3.9) varus yer de\u011fi\u015ftirmesi (inklinasyon a\u00e7\u0131s\u0131 ort. 102.5\u00b0; da\u011f\u0131l\u0131m 95\u00b0-110\u00b0), be\u015f hastada (%4.9) eklem i\u00e7ine vida giri\u015fi g\u00f6r\u00fcld\u00fc. Di\u011fer komplikasyonlar birer hastada (%1) tespit ba\u015far\u0131s\u0131zl\u0131\u011f\u0131, implant k\u0131r\u0131lmas\u0131 ve enfeksiyon idi. Vidan\u0131n eklem i\u00e7ine 3 mm\u2019den fazla girdi\u011fi \u00fc\u00e7 hastada revizyon cerrahisi uyguland\u0131. Varus a\u00e7\u0131lanmas\u0131, varus yer de\u011fi\u015ftirmesi ve eklem i\u00e7ine vida giri\u015fi olan hastalar\u0131n ya\u015f ortalamas\u0131 s\u0131ras\u0131yla 76.6, 74.4 ve 71 idi. Varus a\u00e7\u0131lanmas\u0131 olan hastalar\u0131n \u00fc\u00e7\u00fcnde (%60) varus yer de\u011fi\u015ftirmesi g\u00f6r\u00fcld\u00fc. Eklem i\u00e7ine vida giri\u015fi varus a\u00e7\u0131lanmas\u0131 olan be\u015f hastan\u0131n \u00fc\u00e7\u00fcnde (%60), varus yer de\u011fi\u015ftirmesi olan t\u00fcm hastalarda g\u00f6r\u00fcld\u00fc. Komplikasyon geli\u015fen hastalar\u0131n Constant-Murley omuz skoru ortalamas\u0131 67.8 (da\u011f\u0131l\u0131m 50-90) bulundu.\\r\\n\u00c7\u0131kar\u0131mlar: Bulgular\u0131m\u0131z, par\u00e7al\u0131 yer de\u011fi\u015ftirmi\u015f proksimal humerus k\u0131r\u0131klar\u0131n\u0131n cerrahi tedavisinde kilitli plak vida sistemlerinin, kabul edilebilir komplikasyon oran\u0131 ile \u00f6nemli bir yere sahip oldu\u011funu g\u00f6stermektedir. Do\u011fru endikasyon, uygun cerrahi giri\u015fim ve teknik ile ba\u015f\u0131n inklinasyon a\u00e7\u0131s\u0131n\u0131n korunmas\u0131 ve vida boylar\u0131n\u0131n uygun se\u00e7ilmesi ba\u015far\u0131l\u0131 fonksiyonel sonu\u00e7 i\u00e7in gereklidir.<\/jats:p>","DOI":"10.3944\/aott.2010.2313","type":"journal-article","created":{"date-parts":[[2010,11,28]],"date-time":"2010-11-28T10:22:18Z","timestamp":1290939738000},"page":"89-96","source":"Crossref","is-referenced-by-count":40,"title":["Complications encountered in proximal humerus fractures treated with locking plate fixation"],"prefix":"10.5152","volume":"44","author":[{"given":"Neslihan","family":"Aksu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullah","family":"Gogus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ayhan","family":"Nedim Kara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zekeriya","family":"Ugur Is\u0131klar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"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\/2364\/2321","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:56:41Z","timestamp":1763463401000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2364"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2010,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2010.2313","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}