TY - JOUR T1 - Kalkaneus Kırıklarında Tedavi Yöntemi Klinik Sonuçları Etkiler Mi? Retrospektif Karşılaştırmalı Çalışma. TT - Does Treatment Modality Affect Clinical Results of Calcaneal Fractures: A Retrospective Comparative Study AU - Konya, Mehmet Nuri AU - Sargın, Serdar PY - 2017 DA - July Y2 - 2017 DO - 10.30565/medalanya.313876 JF - Acta Medica Alanya JO - Acta Med. Alanya PB - Alanya Alaaddin Keykubat Üniversitesi WT - DergiPark SN - 2587-0319 SP - 77 EP - 82 VL - 1 IS - 2 LA - tr AB - Amaç: Deplase intraartikülerkalkaneus kırıklarında konservatif ve cerrahi tedaviler arasında fonksiyonelsonuçlar açısından herhangi bir fark olup olmadığını belirlemek.Yöntemler: Çalışmamızda 2012-2014 yıllarıarasında farklı merkezlerde konservatif ve cerrahi olarak tedavi edilmiş ve enaz 2 yıl takibi olan 27 (13 konservatif ve 14 cerrahi tedavi) kalkaneus kırıklıhasta (22 erkek, 5 kadın) geriye dönük olarak incelendi. Hastaların fonksiyonelsonuçları AOFAS skorlarına göre karşılaştırıldı.Bulgular: Yaş ve cinsiyet açısındangruplar arasında anlamlı fark olmadığını bulduk.(p>0,05). AOFAS skorlarıkonservatif tedavi uygulanan hastalarda 69,15 (56-82) ve cerrahi tedaviuygulanan hastalarda 84,3 (56-96) puan idi. Her iki tedavi grubunun AOFASskorları karşılaştırıldığında (Mann Whitney-U Test) cerrahi tedavi uygulanangrupta fonksiyonel sonuçların istatistiksel anlamlı olarak daha iyi olduğunubulduk. (p<0,05).Sonuç: Çalışmamızdan literatürdekimevcut bilgileri destekleyecek şekilde çıkan sonuç, cerrahi tedavilerin sonuçlarının özellikleeklem içi kalkaneus kırıklarının tedavisinde, klinik ve fonksiyonel sonuçlaraçısından konservatif tedaviden daha etkin olduğudur. KW - Kalkaneus KW - Cerrahi KW - Konservatif N2 - Aim: To determine if there is anydifference in functional results between surgical and conservative treatmentsin displaced intra-articular fractures of the calcaneum. Methods: 27 patients (22 males, 5females, who were treated with surgical or conservative modalities (13conservative and 14 surgical) due to displaced calcaneal fractures in differenthospitals, were evaluated in this study between the years of 2012 and 2014. Allpatients were followed up at least for 2 years. All patients were comparedusing the AOFAS questionnaire.Results: There was no significantdifference in terms of ages and sexes of the patients. (p>0, 05) The meanAOFAS score was 69, 15 (56-82) in conservative group, and 84, 3 (56-96) insurgical group. When these AOFAS scores were compared (Mann Whitney-U Test),the functional scores were significantly higher in surgical group (p<0, 05).Conclusion: Our study showed – as theexisting literature also supports– that surgical treatment of intraarticularcalcaneal fractures is functionally and clinically more effective thanconservative treatment. CR - 1. Seyahi A, Uludag S, Koyuncu LO, Atalar AC, Demirhan M. 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UR - https://doi.org/10.30565/medalanya.313876 L1 - http://dergipark.org.tr/tr/download/article-file/325370 ER -