{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:14:04Z","timestamp":1763464444799,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: To investigate the relationship between injury patterns, complications, and the functional outcomes of patients with proximal-ulna fracture-dislocations.\nMethods: Retrospective analysis of 15 patients (10 men, 5 women; mean age, 49.1 years; mean follow-up 49 months) with 6 anterior and 9 posterior fracture-dislocations of the proximal ulna. The proximal ulna was reconstructed with plates and screws in 13 patients and tension-band wiring in 2 patients. At the final follow-up, elbow range of motion (ROM) was measured and Mayo elbow scores (MEPS) were recorded. Broberg-Morrey criteria were used for osteoarthritis staging.\nResults: Concomitant radial-head fracture was seen in all posterior fracture-dislocations. Four ligamentous injuries occurred in this group. All anterior dislocations had trochlear-notch fractures without associated injuries. Mean flexion ROM was 130.6\u00b0 (100\u00b0\u2013140\u00b0) and mean loss of extension ROM was 12.6\u00b0 (0\u00b0\u201330\u00b0) in the study group. The mean MEPS score was 92.3 (70\u2013100). Patients with posterior fracture-dislocations showed lower ROM and MEPS and higher level of osteoarthritis than patients with anterior fracture-dislocations. Recurrent dislocations occurred in 2 patients who had ulna fractures fixed with tension-band wiring.\nConclusion: Radial-head fracture and ligamentous injury are specific components of posterior fracture-dislocations. The injury is limited to the trochlear notch in anterior fracture-dislocations. Posterior fracture-dislocations have lower functional outcomes. Proximal-ulna fractures should be fixed with rigid internal fixation (plate and screw) even if the fracture is a simple 2-part fracture.\n\n\u00d6zet\n\n \n\n\nAma\u00e7: Ulna u\u00a8st u\u00e7 k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131klar\u0131ndaki yaralanma tipleri ile olas\u0131 komplikasyonlar ve fonksiyonel sonu\u00e7lar aras\u0131ndaki ili\u015fkiyi incelemek.\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fma grubundaki 15 hasta (10 erkek, 5 kad\u0131n, ortalama ya\u015f 49.1; ortalama takip 49 ay) geriye d\u00f6nu\u00a8k incelendi. Ulna u\u00a8st u\u00e7 k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131\u011f\u0131 alt\u0131 hastada anterior, dokuz hastada posterior y\u00f6ndeydi. K\u0131r\u0131klar 13 hastada plak ve vidalar ile iki hastada ise gergi band\u0131 y\u00f6ntemi ile tespit edilmi\u015fti. Son kontrolde dirsek eklem hareket a\u00e7\u0131kl\u0131\u011f\u0131 (EHA) ve Mayo dirsek performans skoru (MDPS) \u00f6l\u00e7u\u00a8lerek kaydedildi. Eklemdeki artrozu evrelemek i\u00e7in Broberg Morrey sistemi kullan\u0131ld\u0131.Bulgular: E\u015flik eden radius ba\u015f\u0131 k\u0131r\u0131\u011f\u0131 posterior \u00e7\u0131k\u0131k grubunda tu\u00a8m hastalarda g\u00f6ru\u00a8ldu\u00a8. Bu grupta d\u00f6rt hastada ba\u011f yaralanmas\u0131 da vard\u0131. Anterior \u00e7\u0131k\u0131k grubunda radius ba\u015f\u0131 k\u0131r\u0131\u011f\u0131 ve ba\u011f yaralanmas\u0131 g\u00f6ru\u00a8lmedi. Bu grupta tu\u00a8m hastalarda troklear \u00e7entik k\u0131r\u0131lm\u0131\u015ft\u0131. Tu\u00a8m hastalar\u0131n ortalama dirsek fleksiyonu 130.6\u00b0 (100\u2013140\u00b0), ekstensiyon kayb\u0131 12.6\u00b0 (0\u201330\u00b0) ve ortalama MDPS 92.3 (70\u2013100) bulundu. Posterior k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131k hastalar\u0131nda ortalama EHA ve MDPS\u2019u anterior k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131k hastalar\u0131na g\u00f6re daha du\u00a8\u015fu\u00a8ktu\u00a8. Bu grupta daha fazla dirsek artrozu g\u00f6zlendi. Gergi band\u0131 y\u00f6ntemi ile tedavi edilen iki hastada tekrar \u00e7\u0131k\u0131k g\u00f6zlendi.\u00c7\u0131kar\u0131mlar: Ulna u\u00a8st u\u00e7 k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131klar\u0131nda radius ba\u015f\u0131 k\u0131r\u0131\u011f\u0131 ve ba\u011f yaralanmas\u0131 posterior k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131\u011fa \u00f6zgu\u00a8 bile\u015fenlerdir. Anterior k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131klarda yaralanma bu\u00a8yu\u00a8k oranda troklear \u00e7enti\u011fe s\u0131n\u0131rl\u0131 kalmaktad\u0131r. Posterior k\u0131r\u0131kl\u0131 \u00e7\u0131k\u0131klarda fonksiyonel sonu\u00e7 daha k\u00f6tu\u00a8 olmaktad\u0131r. Ulna u\u00a8st u\u00e7 k\u0131r\u0131\u011f\u0131 basit iki par\u00e7al\u0131 bile olsa mutlaka plak vida tespiti gibi gu\u00a8\u00e7lu\u00a8 sistemlerle onar\u0131lmal\u0131d\u0131r.\n\n \n\n \n\n \n\n \n\n \n\nBu \u00f6zet, makalenin hen\u00fcz redaksiyonu tamamlanmam\u0131\u015f haline aittir ve bilgi verme ama\u00e7l\u0131d\u0131r. Yay\u0131n a\u015famas\u0131nda de\u011fi\u015fiklik g\u00f6sterebilir.<\/jats:p>","DOI":"10.3944\/aott.2015.14.0178","type":"journal-article","created":{"date-parts":[[2015,3,18]],"date-time":"2015-03-18T11:56:01Z","timestamp":1426679761000},"page":"233-240","source":"Crossref","is-referenced-by-count":0,"title":["Fracturedislocations of the proximal ulna"],"prefix":"10.5152","volume":"49","author":[{"given":"Arel","family":"Gereli","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ufuk","family":"Nalbantoglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Goksel","family":"Dikmen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa","family":"Seyhan","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":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2974\/2927","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:09:37Z","timestamp":1763464177000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2974"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2015,1,3]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0178","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]]}}}