TY  - JOUR
T1  - Çapraz Pinleme ile Tedavi Edilen Çocuk Suprakondiler Humerus Kırıklarında Pin Konfigürasyonu ve Çaprazlama Açısının Koronal, Sagittal ve Rotasyonel Stabiliteye Etkisi
TT  - The Effect of Pin Configuration and Crossing Angle on Coronal, Sagittal and Rotational Stability in Pediatric Supracondylar Humerus Fractures Treated with Cross Pinning
AU  - Yeşil, Murat
AU  - Yılmaz, Bilge Kağan
AU  - Altın, Recep
AU  - Konya, Mehmet Nuri
PY  - 2023
DA  - September
DO  - 10.33631/sabd.1342418
JF  - Sağlık Bilimlerinde Değer
JO  - VHS
PB  - Duzce University
WT  - DergiPark
SN  - 2792-0542
SP  - 425
EP  - 430
VL  - 13
IS  - 3
LA  - tr
AB  - Amaç: Çapraz pinleme tekniği ile tedavi edilen pediatrik suprakondiler humerus kırıklarında (SHK) pin konfigürasyonu ve çaprazlama açısı (PÇA) ile kırık stabilitesi arasındaki ilişkiyi radyolojik ölçümlerle incelemek ve bulguları değerlendirmek amaçlandı.Gereç ve Yöntemler: Bu çalışmada, çapraz pinleme uygulanan 111 pediatrik SHK’lı hasta retrospektif olarak analiz edildi. Hastaların ameliyat öncesi, ameliyat sonrası birinci gün ve birinci ayda alınan dirsek ön-arka ve yan grafilerinde Baumann açısı (BA), humerokondiler açı (HKA), lateral rotasyon yüzdesi (LRY) ve ameliyat sonrası birinci ayda PÇA değerleri hesaplandı. Pin konfigürasyonu ve PÇA’nın BA, HKA ve LRY üzerindeki etkisi değerlendirildi.Bulgular: Ameliyat öncesi ile ameliyat sonrası birinci ay arasında LRY, HKA ve BA değerlerinde anlamlı iyileşme görüldü (p
KW  - Suprakondiler Distal  Humerus kırıkları
KW  - Dirsek
KW  - Çocuk
KW  - Radyoloji
KW  - Cerrahi
N2  - Aim: This study aimed to examine the effect of different pin configurations and angles of the pin crossing angle (PCA) on the stability of supracondylar humeral fractures (SHFs) in children who underwent cross pinning treatment by radiological measurements and to evaluate these findings.  Material and methods: This study retrospectively analyzed the radiological outcomes of 111 children with SHFs who underwent cross-pinning treatment. Anteroposterior and lateral elbow x-rays were taken before surgery, one day after surgery, and one month after surgery. The x-rays were used to measure Baumann’s angle (BA), humerocondylar angle (HCA), lateral rotation percentage (LRP), and pin crossing angle  (PCA). The effects of pin configuration and PCA on BA, HCA, and LRP were evaluated.Results: This study found significant improvements in LRP, PCA, and BA from preoperative to postoperative one month (p0.05). Likewise, the PCA above or below 90° did not influence the postoperative first month LRP, PCA, and BA (p>0.05).Conclusion:  This study concluded that pin configuration or PCA did not affect the stability of cross-pinned fractures in terms of  rotation or coronal and sagittal stability. These  results suggest that, to the extent allowed by the anatomy of the distal humerus, the cross-pinning technique  may be  sufficient in terms of fracture stability in all three planes when employed with proper settings. We also propose that LRP can be used to assess and monitor the reduction quality of pediatric SHFs.
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UR  - https://doi.org/10.33631/sabd.1342418
L1  - https://dergipark.org.tr/en/download/article-file/3329042
ER  -