{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T22:01:35Z","timestamp":1784584895861,"version":"3.55.0"},"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\nObjective: The purpose of this study was to evaluate the efficacy of lateral approach and anterolateral anatomical locked plate fixation on clinical and radiological healing of extra-articular distal humeral fractures.\nMethods: Twenty-three (17 male, 6 female) consecutive patients who underwent surgical management for closed extra-articular comminuted distal humeral fractures between 2006 and 2013 were included in this study. Anterolateral fixation with an anatomical locked plate using a lateral approach was preferred. Mean age was 34 years (range: 17\u201356 years). AO Foundation\/American Orthopaedic Trauma Association (AO\/OTA) classification was used; all patients had AO\/OTA 12-B1.3 type fractures. Inclusion criteria were patients with polytrauma, late-onset radial nerve injury, and unsatisfactory closed reduction. Patients were followed up at postoperative weeks 6, 12, and 24, and in 3-month intervals thereafter. Mean follow-up period was 16 months (range: 14\u201318 months). Functional results were evaluated using the Disabilities of the Arm, Shoulder and Hand (DASH) score, visual analog scale (VAS) score, and Mayo elbow performance score.\nResults: Mean flexion was 135\u00b0 (range: 128\u2013140\u00b0) at 24 weeks postoperatively; there was no loss of pronation and supination of the forearm. All fractures healed uneventfully in an average of 19.3 weeks (range: 16\u201324 weeks). Mean Mayo elbow performance score and DASH score at 24 weeks improved from 66.6 (range: 50\u201385) to 100 and from 53.6 (range: 25.75\u201380.75) to 12.7 (range: 5\u201326.5), respectively. VAS score at 24 weeks improved from 4 (range: 3\u20135) to 0.5 (range: 0\u20131). Postoperative radial nerve paralysis and infection were not observed.\nConclusion: We recommend anterolateral anatomical locked plate fixation using a lateral approach as an alternative method in the management of distal humeral extra-articular fractures. This enables rigid fixation of the distal fragment without interfering and impinging on the olecranon fossa, allows early active range of elbow motion, and avoids iatrogenic triceps muscle injury and radial nerve exposure, which prevents surgical radial nerve injury.\n\n\u00d6zet\n\nAma\u00e7: \u00c7al\u0131\u015fmam\u0131z\u0131n amac\u0131,  distal humerus eklem d\u0131\u015f\u0131 par\u00e7al\u0131 k\u0131r\u0131klar\u0131n\u0131n cerrahi tedavisinde, lateral giri\u015fle humerus anterolateraline anatomik kilitli plak uygulamas\u0131n\u0131n klinik ve radyolojik iyile\u015fme \u00fczerinde etkinli\u011fini de\u011ferlendirmektir.\nHastalar ve Y\u00f6ntem: 2006-2013 y\u0131llar\u0131 aras\u0131nda kapal\u0131 distal humerus eklem d\u0131\u015f\u0131 par\u00e7al\u0131 k\u0131r\u0131k nedeniyle cerrahi tedavi uygulanan ard\u0131\u015f\u0131k 23 (17 erkek, 6 kad\u0131n) hasta \u00e7al\u0131\u015fmaya al\u0131nd\u0131. Hastalara lateral insizyonla humerus distal anterolateraline anatomik kilitli plak ile tespit y\u00f6ntemi uyguland\u0131. Ortalama ya\u015f 34 (da\u011f\u0131l\u0131m:17-56) idi. K\u0131r\u0131klar\u0131n tamam\u0131 OTA\/AO s\u0131n\u0131flamas\u0131na g\u00f6re 12-B1.3 tipindeydi. \u00c7al\u0131\u015fmaya dahil edilme kriterleri politravma, kapal\u0131 red\u00fcksiyon sonras\u0131 geli\u015fen radial sinir hasar\u0131 ve kabul edilebilir kapal\u0131 red\u00fcksiyon elde edilememesiydi. Hastalar postop 6, 12, ve 24. haftalarda, daha sonra 3 ayda bir kontrole \u00e7a\u011fr\u0131ld\u0131lar; ortalama takip s\u00fcresi 16 (da\u011f\u0131l\u0131m:14-18) ayd\u0131. Fonksiyonel sonu\u00e7lar\u0131n de\u011ferlendirilmesinde, DASH, VAS ve Mayo dirsek performans skorlamas\u0131 kullan\u0131ld\u0131.  \nBulgular:  Yirmid\u00f6rd\u00fcnc\u00fc haftada hastalar\u0131n dirsek fleksiyonu ortalama 135\u00b0 (da\u011f\u0131l\u0131m:128-140?), pronasyon ve supinasyon hareketleri tamd\u0131. T\u00fcm hastalarda, ortalama 19.3 (da\u011f\u0131l\u0131m:16-24) haftada kaynama sa\u011fland\u0131. Ortalama Mayo dirsek performans ve DASH skoru 24. haftada s\u0131ras\u0131yla  66.6 (da\u011f\u0131l\u0131m:50-85)den 100 e ve 53.6 (da\u011f\u0131l\u0131m:25.75-80.75)dan, 12.7 (da\u011f\u0131l\u0131m:5-26.5)e y\u00fckseldi. Ortalama VAS skoru 24.haftada 4 (da\u011f\u0131l\u0131m:3-5)den, 0.5 (da\u011f\u0131l\u0131m:0-1)e y\u00fckseldi. Ameliyat sonras\u0131 radial sinir paralizisi, enfeksiyon hi\u00e7 bir hastada g\u00f6r\u00fclmedi.\n\u00c7\u0131kar\u0131mlar:\nDistal humerus eklem d\u0131\u015f\u0131 par\u00e7al\u0131 k\u0131r\u0131klar\u0131n\u0131n cerrahi tedavisinde lateral giri\u015fle distal humerusa anatomik uyumlu kilitli plak uygulamas\u0131n\u0131, distal k\u0131r\u0131k par\u00e7as\u0131na \u00e7ok say\u0131da vida g\u00f6ndererek rijit tespit yapmas\u0131, erken dirsek hareketlerine imkan vermesi, triseps hasar\u0131 yapmamas\u0131, radial sinir eksplorasyonunun kolay olmas\u0131 ve bunun sonucunda iatrojenik sinir hasar riskinin azalmas\u0131 gibi avantajlar\u0131 nedeniyle, alternatif bir uygulama olarak \u00f6nermekteyiz.\n\n \n\nDOI: 10.3944\/AOTT.2015.14.0445\nThis abstract belongs to the un-edited version of the article and is only for informative purposes. Published version may differ from the current version.<\/jats:p>","DOI":"10.3944\/aott.2015.14.0445","type":"journal-article","created":{"date-parts":[[2015,8,17]],"date-time":"2015-08-17T08:13:47Z","timestamp":1439799227000},"source":"Crossref","is-referenced-by-count":4,"title":["Fixation of extraarticular distal humeral fractures with a lateral approach and a locked plate: an alternative method"],"prefix":"10.5152","volume":"50","author":[{"given":"Atilla","family":"Parmaks\u0131zo\u011flu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ufuk","family":"\u00d6zkaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuat","family":"Bilgili","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harun","family":"Mutlu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00dcmit","family":"\u00c7etin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"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\/3100\/3052","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:07:26Z","timestamp":1763464046000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/3100"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2016,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0445","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}