Posterior Pelvik Halka Yaralanmalarında Posterior Perkütan Transiliak Plak Tespiti Sonuçları

Year 2022, Volume: 9 Issue: 1, 59 - 62, 29.04.2022

Emre Gultac , Fatih Can , Cem Yalın Kılınç , İsmail Gökhan Şahin , Rabia Mihriban Kılınç , Nevres Aydoğan

https://doi.org/10.47572/muskutd.911722

Abstract

 Sakrum kırıklarının teşhisi ve tedavisi günümüzde halen zorlayıcı olabilmektedir. Literatürde sakral kırıkların tedavisi için çeşitli cerrahi yöntemler bildirilmiştir. Çalışmamızın amacı kliniğimizde posterior perkütan transiliak plak ile tedavi edilen hastaların fonksiyonel sonuçlarını incelemektir. Haziran 2013 ile Eylül 2020 tarihleri arasında posterior pelvik halka yaralanması nedeniyle cerrahi tedavi uygulanan ve en az 6 aylık takip süresi olan 56 hasta retrospektif olarak incelendi. Postoperatif 6. ayda demografik veriler, radyolojik görüntüler, Pelvik Sonuç Skorları (POS) ve Kısa Form-36 (SF-36) sonuçları analiz edildi. Hastaların 6. ay muayenesinde saptanan POS verileri incelendiğinde ortalama pelvik sonuç skoru 32 (26-37) ve SF-36 sonuçları 80 (48-90) olarak bulundu. Ortalama cerrahi işlem süresi 32,2 dakika ve ameliyat sırasında alınan ortanca floroskopi çekim sayısı 2 (1-6) idi. Posterior perkütan transiliak plak tespiti yapılan hastaların 6. ay muayenelerinde fonksiyonel sonuçları tatmin ediciydi. Bu teknik ile ameliyat süresinin kısa ve floroskopi maruziyetlerinin düşük olduğu görüldü. Kısa bir öğrenme eğrisine sahip olan bu tekniğin sakrum cerrahisinde güvenle kullanılabileceğine inanıyoruz. Bu nedenle pelvik cerrahi konusunda tecrübesi olmayan cerrahlar için bu yöntem daha kolay ve daha uygun bir yöntem gibi görünmektedir.

Keywords

Floroskopi, Fonksiyonel Sonuçlar, Operasyon Süresi, Posterior Perkütan Transiliak Plak, Sakrum Kırığı

The Results of Posterior Percutaneous Transiliac Plate Fixation in Posterior Pelvic Ring Injuries

Abstract

The diagnose and treatment of sacrum fractures are still difficult to manage. Various surgical methods have been reported for the treatment of sacral fractures in the literature. The aim of our study is to examine the functional results of patients treated with posterior percutaneous transiliac plate in our clinic. 56 patients who underwent surgical treatment for posterior pelvic ring injury between June 2013 and September 2020 and who had a minimum 6-month follow-up were retrospectively analyzed. Demographic data, radiological images, Pelvic Outcome Scores (POS) and Short Form-36 (SF-36) results in the 6th postoperative month were analyzed. When the POS data detected at the 6th month examination were examined, the mean pelvic outcome score was found to be 32 (26-37) and the SF-36 results as 80 (48-90). The mean duration of the surgical procedure was 32.2 minutes, and the median number of fluoroscopy shots taken during surgery was 2 (1-6). The functional results of the patients who underwent posterior percutaneous transiliac plate fixation were good at the6th month examinations. With this technique, it was observed that the operation time was short and fluoroscopy exposures were low. We believe that this technique, which has a short learning curve, can be used safely in sacrum surgery. For that reason, this method seems to be an easier and more convenient method for surgeons who are not experienced in pelvic surgery.

Keywords

Fluoroscopy, Functional Results, Operation Time, Posterior Percutaneous Transiliac Plate, Sacrum Fracture

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