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Primary internal fixation in the treatment of radius and ulna diaphysis open fractures

Year 1998, Volume: 32 Issue: 1, 15 - 2, 11.09.2006

Abstract

Between the years 1990 and 1996 38 patients, who were diagnosed as open fractures of radius and ulna diaphysis, were treated by the method of primary internal fixation at our Hospital. The distribution of open fractures according to Gustilo-Anderson classification stated as follows; 19 Type 1 (50%), 8 Type 2 (21%)and 11 Type 3 (29%). The mean follow-up period for these cases was 42 months (7-62 months). The mean union period was determined as 13,5 weeks and the otherhand, the union ratio as 95,45 %. In one of these cases, deep infection and conclusively nonunion, in two of them delayed union, and in one of them anguler deformity complications have been observed. In twenty two cases final examinations were realised and their functional results were obtained. According to Andersons's evaluation scale in twelve of these above mentioned cases the results proved to be excellent (54, 54%), in seven good (31,81%), in two fair (9,09%) and in one poor (4,54%). The severity of the soft tissue injury and the prognosis have demonstrated an inversely proportional relationship. This study has proved that the primary internal fixation which was applied following a careful and precise irrigation and debritman has been a very succesfull method in the treatment of open fractures of radius and ulna diaphysis.

Radius - ulna cisim açık kırıklarının tedavisinde primer internal fiksasyon uygulaması

Year 1998, Volume: 32 Issue: 1, 15 - 2, 11.09.2006

Abstract

Kliniğimizde, 1990-l996 yılları arasında radius-ulna cisim açık kırığı tanısı konan 38 hastaya irrigasyon ve debritman sonrasında açık redaksiyon ve internal fiksasyon uygulandı. Bu vakalar için ortalama izlem süremiz 42 ay idi. 19 vakada (% 50), Tip l , 8 vakada (%21) Tip 2 , 11 vakada da (% 29) Tip 3 açık kırık vardı. Ortalama kaynama süresi 13,5 hafta, kaynama oranı % 95,45 olarak tespit edildi. Olguların birinde derin enfeksiyon ve sonucunda kaynama yokluğu, 2'sinde kaynama gecikmesi, 1'inde de anguler deformite komplikasyonları oluştu. Anderson değerlendirme skalasına göre fonksiyonel sonuçları elde edilebilen ve son kontrolleri yapılabilen 22 olgunun 12'sinde (% 54,54) mükemmel, 7 'sinde (% 31,81) iyi, 2 'sinde (% 9,09) orta, l'inde de (% 4,54) kötü sonuçlar tespit edildi.Yumuşak doku yaralanmasının şiddeti ile prognoz ters orantılı ilişki göstermekteydi. Yaptığımız bu çalışma sonucunda titiz ve dikkatli yapılan irrgasyon ve debritman sonrasında uygulanan erken internal fiksasyon uygulamasının radius-ulna cisim açık kırıklarının tedavisinde başarılı bir yöntem olduğu sonucuna vardık.

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Details

Primary Language English
Journal Section Original Article
Authors

Ahmet Kaya This is me

M. Us This is me

Hasan Ozturk This is me

Taskin Altay This is me

Publication Date September 11, 2006
Published in Issue Year 1998 Volume: 32 Issue: 1

Cite

APA Kaya, A., Us, M., Ozturk, H., Altay, T. (2006). Primary internal fixation in the treatment of radius and ulna diaphysis open fractures. Acta Orthopaedica Et Traumatologica Turcica, 32(1), 15-2. https://doi.org/10.3944/aott.v32i1.2220
AMA Kaya A, Us M, Ozturk H, Altay T. Primary internal fixation in the treatment of radius and ulna diaphysis open fractures. Acta Orthopaedica et Traumatologica Turcica. September 2006;32(1):15-2. doi:10.3944/aott.v32i1.2220
Chicago Kaya, Ahmet, M. Us, Hasan Ozturk, and Taskin Altay. “Primary Internal Fixation in the Treatment of Radius and Ulna Diaphysis Open Fractures”. Acta Orthopaedica Et Traumatologica Turcica 32, no. 1 (September 2006): 15-2. https://doi.org/10.3944/aott.v32i1.2220.
EndNote Kaya A, Us M, Ozturk H, Altay T (September 1, 2006) Primary internal fixation in the treatment of radius and ulna diaphysis open fractures. Acta Orthopaedica et Traumatologica Turcica 32 1 15–2.
IEEE A. Kaya, M. Us, H. Ozturk, and T. Altay, “Primary internal fixation in the treatment of radius and ulna diaphysis open fractures”, Acta Orthopaedica et Traumatologica Turcica, vol. 32, no. 1, pp. 15–2, 2006, doi: 10.3944/aott.v32i1.2220.
ISNAD Kaya, Ahmet et al. “Primary Internal Fixation in the Treatment of Radius and Ulna Diaphysis Open Fractures”. Acta Orthopaedica et Traumatologica Turcica 32/1 (September 2006), 15-2. https://doi.org/10.3944/aott.v32i1.2220.
JAMA Kaya A, Us M, Ozturk H, Altay T. Primary internal fixation in the treatment of radius and ulna diaphysis open fractures. Acta Orthopaedica et Traumatologica Turcica. 2006;32:15–2.
MLA Kaya, Ahmet et al. “Primary Internal Fixation in the Treatment of Radius and Ulna Diaphysis Open Fractures”. Acta Orthopaedica Et Traumatologica Turcica, vol. 32, no. 1, 2006, pp. 15-2, doi:10.3944/aott.v32i1.2220.
Vancouver Kaya A, Us M, Ozturk H, Altay T. Primary internal fixation in the treatment of radius and ulna diaphysis open fractures. Acta Orthopaedica et Traumatologica Turcica. 2006;32(1):15-2.