TY - JOUR T1 - Pes ekinovarus hastalarına uygulanan cerrahi tedavilerin erken klinik ve radyolojik sonuçları TT - Early clinical and radiological results of surgical treatments for pes equinovarus patients AU - Çetin, Baki Volkan AU - Altay, Mehmet Akif AU - Sipahioğlu, Serkan AU - Işıkan, Uğur Erdem AU - Bozkurt, Celal AU - Sarıkaya, Baran AU - Ertürk, Cemil PY - 2019 DA - March Y2 - 2019 JF - Harran Üniversitesi Tıp Fakültesi Dergisi PB - Harran University WT - DergiPark SN - 1304-9623 SP - 77 EP - 81 VL - 16 IS - 1 LA - tr AB - Amaç:Dirençli ve ihmal edilmiş idyopatik pes ekinovarus hastalarında uygulananyumuşak doku cerrahilerindeki erken dönem klinik ve radyolojik sonuçlarınıdeğerlendirmek. Metod:Bu çalışmada, Haziran 2014 -Ağustos 2018 tarihleri arasında doğuştan çarpıkayak nedeniyle başvuran ve yaş aralığı 9-87 ay (33 erkek, 10 kız; ort:operasyon yaşı: 31,5 ay) olan 43 hastanın 56 ayağında uygulanan yumuşak dokucerrahileri, geri dönük olarak incelendi. Takip süresi 12-36 aydı. (ort; 20,2ay). Hastaların fizik muayene bulguları ve radyolojik incelemelerine göre operasyonöncesi Pirani skorları ve radyolojik ölçümleri operasyon sonrası 3. aydansonraki son ziyaretleriyle karşılaştırıldı. Bulgular:Operasyon öncesi Pirani skorlarında görünüş, son kontrolde yapılan ölçümlerlekarşılaştırıldığında 4’denfazla azalma olan hastalar çok iyi (11 ayak, %19,6), 3-4 arası azalmaiyi-tatminkar (27 ayak, %48,2), 3’ünaltında azalma kötü (18 ayak, %32,2) olarak bulundu. Operasyon öncesine göreklinik değerlendirmede (Pirani skoru) anlamlı düzelme tespit edildi (p˂0,001).Radyolojik incelemelerde operasyon öncesine göre anlamlı düzelme tespit edildi(p˂0,001). 16 hastada (%28,5) çeşitli derecelerde yara yeri açılması ve ciltnekrozu gelişti. 7 metatarsus adduktus, 3 hastada ekin varus deformitesi ve 2hastada ön ayak supinasyonu, 1 tel çıkması gözlendi.Sonuç:Dirençli ve ihmal edilmiş İPEVolgularda yumuşak doku cerrahileri erken dönemde, klinik ve radyolojik olarak tatminkârbulunmuştur. KW - Pes ekinovarus KW - çarpık ayak KW - Yumuşak doku gevşetme N2 - Background:To evaluate the early clinical and radiological results of soft tissuesurgeries in patients with resistant and neglected idiopathic pes equinovarus.Methods: In this study,between June 2014 and August 2018, who presented with congenital club foot agedbetween 9-87 months (33 males, 10 females; mean age: 31.5 months) wereperformed soft tissue surgeries in 56 feet of 43 patients viewedretrospectively. Follow-up was 12-36 months. (mean; 20,2 months). According tothe physical examination findings and radiological examinations of thepatients, Pirani scores and radiological measurements were compared with thelast visits after the 3rd month after the operation. Results: Compared topreoperative measurements with Pirani scores after 3 months, patients with morethan 4 decreases were very good (11 feet, 19,6%), and the reduction of 3-4 wasgood (27 feet, 48,2%). Less than 3 decrease was poor (18 foot, 32,2%). Significantimprovement was detected in the clinical evaluation (Pirani score) (p˂0,001). Significant improvement was detectedin radiological examinations (p˂0,001).16 patients (28,5%) developed various types of wound healing problems and skinnecrosis. 7 metatarsus adductus, 3 patients with equinus varus deformity and 2patients with forefoot supination and 1 wire out were observed.Conclusion: The soft tissue surgeries performed in theresistant and neglected IPEV patients were found satisfactory in terms of earlyclinical and radiological results. CR - 1. Turco VJ. Surgical correction of the resistant club foot. One stage posteromedial release with internal fixation. A preliminary report. J Bone Joint Surg Am. 1971;53A: 477-97. CR - 2. Nordin S, Aidura M, Razak S, Faisham W. Controversies in congenital clubfoot : literature review. Malays J Med Sci. 2002;9:34–40. CR - 3. Saltzman CL, Fehrle MJ, Cooper RR, Spencer EC, Ponseti IV. 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