{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:30:16Z","timestamp":1763465416071,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of this study was to evaluate the long-term outcome of shoulder arthrodesis with plate fixation and primary autogenous grafting in terms of pain, functional status and arthrodesis position. \\r\\nMethods: The study included 8 patients (7 males and 1 female; mean age: 39.3 years; range: 22 to 68 years) who underwent arthrodesis with plate fixation and primary autogenous grafting. Mean follow-up period was 66.6 (range: 47 to 96) months. Five cases had traumatic brachial plexus palsy, 2 polio sequela and 1 sequela of an operated proximal humerus fracture due to a falling injury. One of the traumatic palsy cases was accompanied with a humerus shaft fracture. Arthrodesis was performed in all cases according to AO principles with plate fixation and primary autogenous grafting. Five of the paralytic patients also underwent Steindler flexorplasty. Follow-up assessments included monthly radiologic control for union, the visual analog scale (VAS) for pain and the Oxford shoulder score (OSS) for functional status. \\r\\nResults: Radiological fusion was seen in all cases in an average of 16 (range: 12 to 18) weeks, and arthrodesis was stable at physical examination. The accompanying humerus shaft fracture was also fixed with plate. One patient with traumatic palsy experienced a humerus fracture distal to the arthrodesis plate at the 8th postoperative month. An additional traumatic palsy case had flexion deformity at the wrist in the second year of follow-up and a wrist arthrodesis with dorsal plate was performed. One patient (12.5%) had a donor site infection on the tenth day after surgery. The target positions of 30\u00b0 of abduction, 30\u00b0 of forward flexion, and 30\u00b0 of internal rotation were achieved with an average deviation of 7\u00b0. Mean active abduction was 68.1\u00b0 (range: 55\u00b0 to 90\u00b0), flexion was 67.5\u00b0 (range: 60\u00b0 to 85\u00b0), and internal rotation was at the level of trochanter major. The mean OSS was 35.9 (range: 32 to 40), and the mean VAS score was 2.9 (range: 1 to 7). \\r\\nConclusion: Our findings show that AO reconstruction plate and primary autogenous bone grafting is a safe and effective arthrodesis method that can also be used as a salvage procedure.\n\n\u00d6zet\n\nAma\u00e7: \u00c7al\u0131\u015fmam\u0131z\u0131n amac\u0131 plak ve primer otojen greftleme ile omuz artrodezi uygulamas\u0131n\u0131n a\u011fr\u0131, fonksiyonel durum ve artrodez pozisyonu a\u00e7\u0131s\u0131ndan uzun d\u00f6nem sonu\u00e7lar\u0131n\u0131 de\u011ferlendirmekti. \\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya plak ve primer otojen greftleme ile omuz artrodezi uygulanan, ortalama ya\u015f\u0131 39.3 (da\u011f\u0131l\u0131m: 22-68) olan 8 hasta (7 erkek, 1 kad\u0131n) al\u0131nd\u0131. Hastalar\u0131n ortalama takip s\u00fcresi 66.6 (da\u011f\u0131l\u0131m: 47-96) ay idi. Olgular\u0131n 5\u2019inde travmatik brakial pleksus felci, 2\u2019sinde polio sekeli ve birinde y\u00fcksekten d\u00fc\u015fme sonras\u0131 osteosentez denenmi\u015f proksimal humerus k\u0131r\u0131\u011f\u0131 sekeli mevcuttu. Travmatik paralizili olgulardan birinde ek olarak humerus \u015faft k\u0131r\u0131\u011f\u0131 da bulunmaktayd\u0131. Artrodez, t\u00fcm olgulara AO cerrahi tekni\u011fiyle plak vida tespiti ve primer otojen greftleme ile uyguland\u0131. Paralitik olgular\u0131n be\u015fine ek olarak Steindler fleks\u00f6rplasti uyguland\u0131. Takipte kaynama i\u00e7in ayl\u0131k radyolojik inceleme, a\u011fr\u0131 i\u00e7in g\u00f6rsel analog skala (visual analog scale, VAS) ve fonksiyonel durum i\u00e7in Oxford omuz skoru (Oxford shoulder score, OSS) kullan\u0131ld\u0131. \\r\\nBulgular: Olgular\u0131n t\u00fcm\u00fcnde ameliyat sonras\u0131 ortalama 16. haftadan (da\u011f\u0131l\u0131m: 12-18) itibaren radyolojik olarak f\u00fczyon g\u00f6zlendi ve muayenede artrodez stabildi. E\u015f zamanl\u0131 humerus k\u0131r\u0131\u011f\u0131 olan olguda k\u0131r\u0131k, plak ile tespit edildi. Travmatik paralizisi olan bir olguda ameliyat sonras\u0131 sekizinci ayda artrodez pla\u011f\u0131n\u0131n alt\u0131ndan humerus k\u0131r\u0131\u011f\u0131 geli\u015fti. Ba\u015fka bir travmatik paralizili olgunun takibinde ikinci y\u0131lda el bile\u011finde fleksiyon deformitesi geli\u015fti ve bu hastaya dorsalden plak ile el bile\u011fi artrodezi uyguland\u0131. Bir olguda (%12.5) ameliyat sonras\u0131 10. g\u00fcnde don\u00f6r sahada yara enfeksiyonu geli\u015fti. Hedef pozisyon olan 30\u00b0 abd\u00fcksiyon, 30\u00b0 \u00f6ne fleksiyon ve 30\u00b0 i\u00e7 rotasyon t\u00fcm hastalarda klinik olarak ortalama 7 derecelik sapmayla sa\u011fland\u0131. Ortalama aktif abd\u00fcksiyon 68.1\u00b0 (da\u011f\u0131l\u0131m: 55\u00b0-90\u00b0), \u00f6ne fleksiyon 67.5\u00b0 (da\u011f\u0131l\u0131m: 60\u00b0-85\u00b0), i\u00e7 rotasyon trokanter major seviyesinde idi. Ortalama OSS 35.9 (da\u011f\u0131l\u0131m: 32-40), ortalama VAS 2.9 (da\u011f\u0131l\u0131m: 1-7) idi. \\r\\n\u00c7\u0131kar\u0131mlar: Bulgular\u0131m\u0131z AO rekonstr\u00fcksiyon pla\u011f\u0131 ile tespit ve primer otojen greftlemenin revizyon olgular\u0131nda kurtar\u0131c\u0131 bir giri\u015fim olarak da kullan\u0131labilecek g\u00fcvenli bir artrodez y\u00f6ntemi oldu\u011funu g\u00f6stermi\u015ftir.<\/jats:p>","DOI":"10.3944\/aott.2011.2487","type":"journal-article","created":{"date-parts":[[2012,1,24]],"date-time":"2012-01-24T06:02:26Z","timestamp":1327384946000},"page":"412-420","source":"Crossref","is-referenced-by-count":16,"title":["Shoulder arthrodesis with plate fixation"],"prefix":"10.5152","volume":"45","author":[{"given":"Cem","family":"Zeki Esenyel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kahraman","family":"Ozturk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yunus","family":"Imren","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Semih","family":"Ayanoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2535\/2491","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:27:46Z","timestamp":1763465266000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2535"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"6","published-online":{"date-parts":[[2011,1,6]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2011.2487","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}