TY - JOUR T1 - Halluks Valgus Deformitesi Bulunan Hastalarda Gece Ateli Kullanımının Halluks Valgus Açısı ve Fonksiyonel Skorlar Üzerine Etkisi TT - The Effect of Night Splint Use on Hallux Valgus Angle and Functional Scores in Patients with Hallux Valgus Deformity AU - Akkaya, Mustafa PY - 2018 DA - December DO - 10.17098/amj.501715 JF - Ankara Medical Journal JO - Ankara Med J PB - Ankara Yıldırım Beyazıt Üniversitesi WT - DergiPark SN - 2148-4570 SP - 584 EP - 591 VL - 18 IS - 4 LA - tr AB - Amaç: Kliniğimizde Halluks Valgus (HV) deformitesi bulunan hastaların konservatif tedavi yöntemiolan gece ateli uygulaması ile takiplerinde HV açılarının ve fonksiyonel skorlarındaki değişiminincelenmesi amaçlanmıştırMateryal ve Metot: Ocak 2017 – Mayıs 2018 tarihleri arasında Ankara Yıldırım Beyazıt ÜniversitesiYenimahalle Eğitim ve Araştırma Hastanesi Ortopedi ve Travmatoloji Kliniği’ne başvuran HVdeformitesi tanısı almış hastalar bu retrospektif araştırmanın çalışma grubunu oluşturdu. Çalışma grubuiçinde 227 hasta dosyası geriye dönük olarak tarandı. Hastalardan ayak radyografisinde 25 dereceüzerinde HV açısı olup 6 aylık gece ateli (splint) ile konservatif tedavi edilenlerin (n=76) HV açısı vefonksiyonel skorlarındaki değişme kaydedilerek tedavi öncesi ve sonrası karşılaştırmalar yapıldı.Bulgular: Çalışma grubumuzda (n=76); bayan popülasyonda (n=68) daha sıklıkla görülen HVdeformitesinin başvuru sebepleri arasında ağrının (%53,94), kozmetik bozukluktan (%46,05) ön plandaolduğu ve ayakta çalışılan mesleklerde (n=33 / %75,75) daha sık semptom verdiği izlendi. 6 ay süre ilegece ateli kullanımı sonrası HV açılarında anlamlı azalama olmadığı (p=0,563) ancak fonksiyonelskorlamalarda anlamlı düzeyde (ağrı; p=0,022 ve fonksiyon; p=0,031) iyileşme olduğu izlendi.Sonuç: Orta ve ileri yaş grubunda HV deformitesi bulunan ve HV açılarının yüksek olduğu hastagrubunda uzun süreli gece atelinin efektif olarak kullanılması HV açısında kısmi azalma ile birliktefonksiyonel skorlarda anlamlı derecede düzelme sağlamıştır. Yüksek HV açıları olmasına rağmen cerrahitedavi istemeyen hasta grubunda uzun süreli gece ateli uygulaması hayat kalitesinin artmasında yararlıolabilir. KW - Halluks valgus KW - konservatif tedavi KW - splintler N2 - Objectives: It was aimed to investigate the change in HV anglesand functional scores of the patients with Hallux Valgus (HV) deformity duringtheir follow-up with the conservative treatment method, i.e. night splint, inour clinic.Materials and Methods: The study group of this retrospective study wasconstituted by patients diagnosed with HV deformity who presented to theOrthopedics and Traumatology Clinic of Ankara Yıldırım Beyazıt UniversityYenimahalle Training and Research Hospital between January 2017 – May 2018.Files of 227 patients included in the study group were retrospectively screened.Among these patients, the change in HV angle and functional scores were notedfor the patients who had an HV angle higher than 25 degrees in foot radiographsand who were conservatively treated with night splints for 6 months (n=76) inorder to conduct pre- and post-treatment comparison.Results: In our study group (n=76), it was observed that theleading causes of presenting with HV deformity, which was more common in thefemale population (n=68), consisted of pain (53.94%) followed by cosmeticimpairment (46.05%), and that HV more frequently showed symptoms in patientsworking in a standing position (n=33 / 75.75%). 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