FRACTURE - DISLOCATION OF THE PROXIMAL HUMERAL END THE METHOD AND THE RESULTS OF TREATMENT

866 patients with proximal end fracture and fractured dislocation of the humerus, were accepted to the Department of Orthopaedics and Traumatology, in Haseki Hospital of Ministry of Health, between January 1988 and August 1996.53 cases (6%) were treated in the in patient clinic. 32 (60%) of those were men and 21 (40%) were women, the average age of whom was 39 (ranged between 7 and 79). Conservative treatment was applied to 21 (40%), and surgical treatment was performed to 32 (60%) of those cases. 27 patients were followed up averagely 16,8 months (minimum 6, maximum 40 months). Healing of the fracture was evaluated radiologically and functions of the fractured shoulder was evaluated according to Constant Scoring System. The increase in the degree of deplacement of the fragments of fracture and the number of fragments, and the surgical technique performed, were concluded to affect the results; and rehabilitation was essential as well as the orthopaedic treatment methods performed in order to obtain satisfactory functional results.

HUMERUS ÜST UÇ KIRIKLARINDA UYGULADIÐIMIZ TEDAVÝ YÖNTEMLERÝ VE SONUÇLARIMIZ

S.B. Haseki Hastanesi Ortopedi ve Travmatoloji polikliniðine Ocak 1988 Aðustos 1996 tarihleri arasýnda 866 humerus üst uç kýrýðý ve kýrýklý-çýkýk olgusu müracaat etti. Bu olgulardan 53(%6)'ü yatarak tedavi edildi. Yatarak tedavi edilen olgularýn 32(%60)'si erkek, 21 (% 40)'i kadýn olup, yaþ ortalamasý 39 (min. 7 - maks. 79)'du. Bu olgularýn 21 (% 40'i konservatif olarak, 32 (% 60) 'si cerrahi olarak tedavi edildi.Ortalama 16.8 ay (min.6 - maks.40 ay) izlenen 27 olguda kýrýk iyileþmesi radyolojik olarak, hasta omuzun fonksiyonlarý ise Constant Skorlama sistemine göre deðerlendirildi. Kýrýk fragmanlarýnda deplasman derecesi ve fragman sayýsýnýn artmasýnýn, uygulanan cerrahi tekniðin,sonuçlar üzerinde etkili olabileceði, iyi bir fonksiyonel sonuç için rehabilitasyonun, uygulanan ortopedik tedavi y önlemleri kadar gerekli olduðu sonucuna varýldý.