Abstract
In this study pre and post operative fractures of 22 patellar fracture cases treated with surgical approach were analyzed. Out of 22 cases, 16 (72.7%) belonged to males and 6 (27.3%) belonged to females. The mean age of the cases was 34.1 year with the minimum 8 and the maximum 75 years. The mean follow up period was 18 month with the minimum 4 and the maximum 45 month period. The surgical procedures were, osteosynthesis in 16 cases, partial patellectomy in 5 cases and fibrin adhesive was used in 1 case. The cases were operated at average. 4.6 days after the trauma. The evaluation was performed according to the modified Cincinnati and Bostman scoring systems. Accordingly, in 54.5% of cases the results were evaluated as very good and in 22.5%, good, in 13.5% satisfactory and in 9 % bad. Male patellar fractures seemed to give better results than female cases. Currently the most preferred treatment approach for patellar fractures is the modified AO anterior tension band method, when the results of this study with regard to the modified AO anterior tension band method are compared to the published results in the literature, our results score higher (87.5%). However in partial patellectomy cases the score was 80%. In conclusion, our study shows that in surgical treatment of patellar fractures, there are several parameters which influence the outcome. These parameters are the types of fracture encountered, the surgical approach taken, and the quality of post operative rehabilitation. Furthermore, the modified AO method seems to be the method for osteosynthetic approach.
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Abstract
Patella kırığı nedeni ile cerrahi tedavi uygulanan 16'sı erkek, 6'sı kadın 22 olgu literatür ışığında klinik ola-rak değerlendirilmiştir. Ortalama yaş 34.1 (8-75), takip süresi 18 (4-45) aydır. Toplam 16 olguya osteosentez. 5 olguya parsiyel patellektomi ve bir olguya da fibrin yapıştırıcı uygulanmıştır. Ortalama 4.6 (1-20) gün sonra opere edilen olgularda değerlendirme modifiye Cincinnati ve Böstman skorlama sistemlerine göre yapılmış ve olguların %54.5'inde çok iyi. %22.5'inde iyi, %13.5'inde orta ve %9'unda kötü sonuç alınmıştır. Erkek olgular-da, kadınlarla karşıtaştıriidiğinda belirgin olarak daha iyi sonuçlar alınmıştır. Günümüzde en popüler teknik olan modifiye AO anterior gergi bandı yöntemi ile, %87.5'luk bir skor elde edilmiştir. Buna karşın parsiyel patellektomi uygulanan olgulardaki skor %80 olmuştur. Sonuç olarak, patella kırıklarının cerrahi tedavisinde, kırık tipinin, uygulanan cerrahi tedavi yönteminin ve postoperatif rehabilitasyonun sonuca en etkili parametreler ve osteosentez yöntemininden modifiye AO yönteminin en iyi teknik olduğu kanısına varılmıştır.
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Details
| Primary Language | English |
|---|---|
| Journal Section | Original Article |
| Authors | |
| Publication Date | September 11, 2006 |
| Published in Issue | Year 1996 Volume: 30 Issue: 3 |