ISSN 2458-7834
 

Original Article 


Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?

Sertaç Saruhan, Melikşah Uzakgider, Kamil Yamak, Recep Selçuk Eyceyurt, Cemil Kayalı.

Abstract
Objective: The optimal treatment for isolated fractures of ulnar shaft is debatable. The purpose of this study was to compare functional and radiological outcomes in patients treated for minimal or non-deplaced distal two thirds isolated fractures of the ulnar shaft by open reduction and internal fixation and above elbow cast.
Methods: A retrospective analysis was undertaken on patients diagnosed distal two thirds isolated ulnar shaft fracture between January 2012 and December 2020 with a minimum of six months follow-up. They were treated above elbow cast or open reduction internal fixation (ORIF) . Demographic information, clinical outcomes and complications were collected. Radiographs were reviewed to evaluate angulation, shortening, displacement and residual deformity.
Results: 38 patients with a mean age of 44,3 years were treated by Iong arm cast (29/38) and ORIF (9/38). There was no difference between the groups for pain, range of motion at the elbow and wrist andunion at the end of six months. Seven (23,6%) patients in the above elbow cast group and two (22,2%) in the ORIF group nonunited .
Conclusion: Although there is no significant difference between the conservative and ORIF treatment in terms of results; ORIF may be more suitable for this fractures due to early mobilization and returning daily activities.

Key words: above elbow cast; isolated ulna shaft fractures; operative fixation; ulna fractures


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Sertaç Saruhan
Articles by Melikşah Uzakgider
Articles by Kamil Yamak
Articles by Recep Selçuk Eyceyurt
Articles by Cemil Kayalı
on Google
on Google Scholar


How to Cite this Article
Pubmed Style

Saruhan S, Uzakgider M, Yamak K, Eyceyurt RS, Kayalı C. Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?. Hand Microsurg. 2021; 10(3): 177-182. doi:10.5455/handmicrosurg.60271


Web Style

Saruhan S, Uzakgider M, Yamak K, Eyceyurt RS, Kayalı C. Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?. https://handmicrosurgeryjournal.com/?mno=60271 [Access: May 27, 2022]. doi:10.5455/handmicrosurg.60271


AMA (American Medical Association) Style

Saruhan S, Uzakgider M, Yamak K, Eyceyurt RS, Kayalı C. Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?. Hand Microsurg. 2021; 10(3): 177-182. doi:10.5455/handmicrosurg.60271



Vancouver/ICMJE Style

Saruhan S, Uzakgider M, Yamak K, Eyceyurt RS, Kayalı C. Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?. Hand Microsurg. (2021), [cited May 27, 2022]; 10(3): 177-182. doi:10.5455/handmicrosurg.60271



Harvard Style

Saruhan, S., Uzakgider, . M., Yamak, . K., Eyceyurt, . R. S. & Kayalı, . C. (2021) Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?. Hand Microsurg, 10 (3), 177-182. doi:10.5455/handmicrosurg.60271



Turabian Style

Saruhan, Sertac, Melikşah Uzakgider, Kamil Yamak, Recep Selcuk Eyceyurt, and Cemil Kayalı. 2021. Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?. Hand and Microsurgery, 10 (3), 177-182. doi:10.5455/handmicrosurg.60271



Chicago Style

Saruhan, Sertac, Melikşah Uzakgider, Kamil Yamak, Recep Selcuk Eyceyurt, and Cemil Kayalı. "Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?." Hand and Microsurgery 10 (2021), 177-182. doi:10.5455/handmicrosurg.60271



MLA (The Modern Language Association) Style

Saruhan, Sertac, Melikşah Uzakgider, Kamil Yamak, Recep Selcuk Eyceyurt, and Cemil Kayalı. "Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?." Hand and Microsurgery 10.3 (2021), 177-182. Print. doi:10.5455/handmicrosurg.60271



APA (American Psychological Association) Style

Saruhan, S., Uzakgider, . M., Yamak, . K., Eyceyurt, . R. S. & Kayalı, . C. (2021) Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?. Hand and Microsurgery, 10 (3), 177-182. doi:10.5455/handmicrosurg.60271





Most Viewed Articles
  • Giant intramuscular lipoma of arm: A case report and review of the literature
    Muzaffer Durmus, Ahmet Demirhan Dal, Abdul Kerim Yapici, Sedat Avsar, Yalcin Bayram
    Hand Microsurg. 2014; 3(3): 87-90
    » Abstract & References » doi: 10.5455/handmicrosurg.173820

  • Cubital tunnel syndrome due to heterotrophic ossification caused by radial head fracture: A case report
    Seyitali Gumustas, Haci Bayram Tosun, Ismail Agir, Abuzer Uludag
    Hand Microsurg. 2014; 3(1): 24-28
    » Abstract & References » doi: 10.5455/handmicrosurg.1577

  • Munchausen’s syndrome or pure self-mutilation? A case of self-inflicted tendon injury
    Burak Kaya, Servet Elcin Alpat, Mehmet Sonmez, Cem Cerkez, Savas Serel
    Hand Microsurg. 2014; 3(3): 83-86
    » Abstract & References » doi: 10.5455/handmicrosurg.172607

  • Radial nerve grafting in high energy humeral fractures
    Yusuf Gürbüz, Tahir Sadık Sügün, Kemal Özaksar, Murat Kayalar, Tulgar Toros, İbrahim Kaplan
    Hand Microsurg. 2012; 1(2): 60-64
    » Abstract & References » doi: 10.2399/emd.12.58077

  • The utility of onion extract gel containing topical allantoin and heparin after surgical treatment of upper extremity burn scars
    Mehmet Ihsan Okur, Alpagan Mustafa Yildirim, Bilsev Ince
    Hand Microsurg. 2014; 3(3): 74-79
    » Abstract & References » doi: 10.5455/handmicrosurg.172436

  • Most Downloaded
  • Bone island and hand involvement – A short review
    Ganesh Singh Dharmshaktu, Binit Singh
    Hand Microsurg. 2018; 7(2): 93-97
    » Abstract » doi: 10.5455/handmicrosurg.258665

  • Lipofibromatous hamartoma of the digital nerve: A case report
    Emin Sir, Alper Aksoy
    Hand Microsurg. 2018; 7(1): 45-48
    » Abstract » doi: 10.5455/handmicrosurg.255406

  • The three bony point relationship of the elbow-Why is there still a lack of consensus?
    Supreeth Nekkanti, Dama Kondaiah Naidu, Jasmine Sebastin, Kamal Prasad, Mohan Yeshwanth, Archana Meka
    Hand Microsurg. 2018; 7(2): 79-82
    » Abstract » doi: 10.5455/handmicrosurg.291476

  • Hand grip strength: Age and gender stratified normative data in Anatolian population
    Melih Unal, Ozkan Kose, Hasan Onur Arik, Ferhat Guler, Baver Acar, Halil Yalcin Yuksel
    Hand Microsurg. 2018; 7(1): 16-23
    » Abstract » doi: 10.5455/handmicrosurg.257058

  • Synovial chondromatosis of the wrist
    Murat Kayalar, Abuzer Uludag, Basak Doganavsargil Yakut, Ahmet Savran
    Hand Microsurg. 2018; 7(2): 109-111
    » Abstract » doi: 10.5455/handmicrosurg.269392

  • Most Cited Articles
  • The rise of wide awake hand surgery - Contribution from Turkey
    Egemen Ayhan, Emre Ozdemir, Ender Gumusoglu, Kadir Cevik, Metin M Eskandari
    Hand Microsurg. 2018; 7(3): 125-134
    » Abstract » doi: 10.5455/handmicrosurg.299709
    Cited : 6 times [Click to see citing articles]

  • Giant lipomas of the hand
    Gokce Yildiran, Osman Akdag, Mehtap Karamese, Muhammed Nebil Selimoglu, Zekeriya Tosun
    Hand Microsurg. 2015; 4(1): 8-11
    » Abstract & References » doi: 10.5455/handmicrosurg.175443
    Cited : 3 times [Click to see citing articles]

  • Upper extremity tumors
    Levent Eralp , Halil Buldu
    Hand Microsurg. 2013; 2(3): 105-114
    » Abstract & References » doi: 10.5455/handmicrosurg.164446
    Cited : 3 times [Click to see citing articles]

  • Flexor pollicis longus repair in a patient with Linburg-Comstock anomaly: A case report
    Mehmet Unal, Eren Cansu, Hakan Cift
    Hand Microsurg. 2016; 5(2): 88-91
    » Abstract » doi: 10.5455/handmicrosurg.193633
    Cited : 3 times [Click to see citing articles]

  • Hirudo medicinalis - historical and biological background and their role in microsurgery: Review article
    Abdul Kerim Yapici, Muzaffer Durmus, Mehmet Tanyuksel, Selim Turkkan, Harun Yasin Tuzun, Arsen Arsenishvili
    Hand Microsurg. 2017; 6(1): 34-38
    » Abstract » doi: 10.5455/handmicrosurg.217838
    Cited : 3 times [Click to see citing articles]