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dc.contributor.authorŞentürk, Fatih
dc.contributor.authorBaslo, Mehmet Barış
dc.contributor.authorGökçeoğlu, Yaşar Samet
dc.contributor.authorKendirci, Alper Şükrü
dc.contributor.authorŞahin, Koray
dc.contributor.authorErşen, Ali
dc.contributor.authorBayram, Serkan
dc.date.accessioned2023-10-10T13:05:27Z
dc.date.available2023-10-10T13:05:27Z
dc.identifier.citationBayram S., Gökçeoğlu Y. S., Kendirci A. Ş., Şahin K., Şentürk F., Baslo M. B., Erşen A., "Long-Term Evaluation of Ulnar Nerve Function in Patients with Distal Humerus Fractures Treated with Open Reduction and Internal Fixation: A Nerve Conduction Study.", Journal of orthopaedic trauma, 2023
dc.identifier.issn0890-5339
dc.identifier.othervv_1032021
dc.identifier.otherav_2b88ce33-04e3-4b82-96cd-2502fb6e1398
dc.identifier.urihttp://hdl.handle.net/20.500.12627/190421
dc.identifier.urihttps://doi.org/10.1097/bot.0000000000002707
dc.description.abstractObjectives:To investigate the long-term evaluation with electromyography of ulnar nerve function in patients with distal humerus fractures (DHFs) treated with open reduction and internal fixation.Design:Retrospective cohort study.Setting:Level 1 trauma center.Patients:Fifty-two patients (20 men and 32 women) with DHFs.Interventions:All patients underwent open reduction and internal fixation between 2002 and 2017 with a minimum five years' follow-up.Main outcome measurements:The nerve conduction test was done for evaluation ulnar nerve function. Secondary outcomes were modified McGowan grading system for symptoms of ulnar neuropathy.Results:The mean follow-up time was 112.7 ± 39 months after surgery. 28.8% (15) of the patients scored in Grade I, 30 (57.6%) in Grade II, and 7 (13.6%) in Grade III on the affected side according to McGowan grading scale. According to EMG results, 40.1% (21/52) of patients had abnormal results. There was significant difference between fracture and unaffected side regarding ulnar nerve motor wrist CMAP amplitude, motor below elbow CMAP amplitude, above elbow CMAP amplitude, above elbow MNCV, and sensory wrist amplitude. Ulnar nerve motor wrist-ADM latency (p = 0.01; r = 0.446) and ulnar nerve sensory conduction velocity (p < 0.001, r = -0.504) were significant correlation with McGowan grading scale.Conclusion:There were significant difference ulnar nerve motor amplitude and sensory wrist amplitude between fracture and unaffected side. A mean decrease in sensory amplitude of fracture elbow was found 25% compared to the unaffected side in our result.Level of evidence:Diagnostic Level III. See Instructions for Authors for a complete description of levels of evidence.
dc.language.isoeng
dc.subjectOrtopedi ve Travmatoloji
dc.subjectSağlık Bilimleri
dc.subjectAyak Bakımı
dc.subjectCerrahi
dc.subjectOrtopedi ve Spor Hekimliği
dc.subjectTıp
dc.subjectCerrahi Tıp Bilimleri
dc.subjectORTOPEDİ
dc.subjectCERRAHİ
dc.subjectKlinik Tıp
dc.subjectKlinik Tıp (MED)
dc.titleLong-Term Evaluation of Ulnar Nerve Function in Patients with Distal Humerus Fractures Treated with Open Reduction and Internal Fixation: A Nerve Conduction Study.
dc.typeMakale
dc.relation.journalJournal of orthopaedic trauma
dc.contributor.departmentİstanbul Üniversitesi , İstanbul Tıp Fakültesi , Cerrahi Tıp Bilimleri Bölümü
dc.contributor.firstauthorID4560441


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