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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


 
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How to Cite this Article
Pubmed Style

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

Sertaç Saruhan| Melikşah Uzakgider| Kamil Yamak| Recep Selçuk Eyceyurt| Cemil Kayalı. Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?. http://handmicrosurgeryjournal.com/?mno=60271 [Access: December 25, 2021]. doi:10.5455/handmicrosurg.60271


AMA (American Medical Association) Style

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

Sertaç Saruhan| Melikşah Uzakgider| Kamil Yamak| Recep Selçuk Eyceyurt| Cemil Kayalı. Treatment of Minimal or Nondisplaced Distal Two Thirds Isolated Ulnar Fractures: Above Elbow Cast or ORIF?. Hand Microsurg. (2021), [cited December 25, 2021]; 10(3): 177-182. doi:10.5455/handmicrosurg.60271



Harvard Style

Sertaç Saruhan| Melikşah Uzakgider| Kamil Yamak| Recep Selçuk Eyceyurt| Cemil Kayalı (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

Sertaç Saruhan| Melikşah Uzakgider| Kamil Yamak| Recep Selçuk Eyceyurt| 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

Sertaç Saruhan| Melikşah Uzakgider| Kamil Yamak| Recep Selçuk Eyceyurt| 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

Sertaç Saruhan| Melikşah Uzakgider| Kamil Yamak| Recep Selçuk Eyceyurt| 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

Sertaç Saruhan| Melikşah Uzakgider| Kamil Yamak| Recep Selçuk Eyceyurt| 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








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