TY - JOUR T1 - Femur kırıklarının intrameduller çivi ile tedavisinde radyasyon maruziyeti azaltılabilir mi? TT - Can radiation exposure be reduced in thetreatment of femur fractures with the Intrameduller nail? AU - Konya, Mehmet Nuri AU - Kaya, Ömer Ali PY - 2017 DA - April Y2 - 2017 DO - 10.30565/medalanya.278034 JF - Acta Medica Alanya JO - Acta Med. Alanya PB - Alanya Alaaddin Keykubat Üniversitesi WT - DergiPark SN - 2587-0319 SP - 20 EP - 23 VL - 1 IS - 1 LA - tr AB - Amaç: Bu çalışmada, serbest el tekniği veelektromanyetik navigasyon sistemi ile distal kilitleme yapılan intramedüllerçivi ameliyatı yapılan olguları, cerrahi süresi ve radyasyon maruziyetiaçısından karşılaştırmayı amaçladık.Yöntem: Şubat 2012-Şubat 2013 arasında femur kırığıolan 40 hasta değerlendirildi. Distalmanyetik kilitlemeli İntramedüller Çivileme (DMK+) ve distal serbest el kilitli intramedüllerçivileme (DMK-) tekniği ile operasyon yapıldı. Distal kilitleme sırasındakullanılan floroskopi süresi, radyasyon maruziyeti ve cerrahi süresikarşılaştırıldı. Alınan radyasyon dozu; TC sivil savunma müdürlüğünden teminedilen NAB 223 marka radyasyon ölçer ile ölçüldü.Bulgular: DMK (-) grubunda 20femur kırığı mevcuttu. Distal kilitlemesırasında ortalama skopi süresi33,7± 12,6 idi, ameliyat süresi 68.50±7.1dk idi.Radyasyon dozu femur kırığı için 461,7±172,7 idi. DMK (+) grubunda 20 hastada femur kırığımevcuttu. Distal kilitleme sırasında ortalama skopi süresi 29±17,6 idi,ameliyat süresi 66.25±10.1 dk. İdi. Radyasyon dozu ise 397,3±241,1 idi.Sonuç: Uzun kemikkırıklarına uygulanan İntramedüller Çivileme tekniklerini karşılaştırdığımız buçalışmada distal manyetik kilitlemeli İntramedüller civilerin alınan skopisayısı, ameliyat süresi ve kanama miktarını kilitsiz intramedüller çivileregöre anlamlı şekilde azaltmadığı gözlenmiştir (p>0.05). KW - Femur kırığı KW - intramedüller çivileme KW - distal kilitleme KW - radyasyon N2 - Aim: In this study, ouraim is to compare surgery time and radiation exposure for patients of treated with two differentintramedullar nail distal locking systems; free-hand technique andelectromagnetic navigation system.Method:We evaluated 40 patients' femur fractures. we treated with Intramedullar Nail due tofemur fractures between the dates of February 2012 and February 2013 wereoperated on by two different distal locking techniques; Distal Electromagneticguided technique(DML+) and Free-hand Technique(DML-). Radiation exposure was measuredby radiationmeter (NAB223) obtained from Civil Defense Directorate.Results:In groupDML(-) 20 femur fractures were evaluated. Mean flouroscopy time was 33,7± 12,6,operation time 68.5±7.1 minutes and whole radiation exposure was 461,7±172,7.In group DML(-) 20 femur fractures were evaluated. 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