Öz
63 patients who were diagnosed as tibial shaft fractures have been treated by intramedullary nailing in the years between March 1993 and May 1997 at our clinic. The mean follow-up period for these patients was 16, 7 months. The mean age of the patients was 33, 9 years. The aetiologic factor was motor vehicle accidents in 55 cases (87, 30%). The others were industrial accidents in 6 cases (9,5%), falling in 2 cases (3,1%), and stroke injuries in 1 case (1, 5%). 32 (50,79 %) of them were closed fractures and 31 (49,21 %) were open. According to Gustilo Anderson classification systems the distributions of open fractures were as follows : Type 1: 11, Type 2: 13, Type 3: 7. Closed nailing was applied to 52 patients (82,53 %), while open nailing was applied to 11 patients (17,47%) for various reasons. Conventional nails were applied to 53 cases while interlocking nails were used in 10 cases (4 of them were static and 6 of them were dynamic). Clinical recovery occurred in 14, 0 weeks, on the otherhand radiological recovery in 17,0 weeks. Only in 2 patients there was shortening over 10 mm. In 2 cases angulation at mediolateral plane was over 5 mm, whereas in 1 patient angulation at anteroposterior plane was over 5mm. In 2 cases delayed union was seen. Rotational deformity , neurologic or vascular complication , nonunion and osteomyelitis have not been observed in any of the cases. According to Johner and Wruhs Evaluation Criteria, We realised that we obtained excellent results in 38 cases (60,31%), good in 18 (28,57%), fair in 7 (11,11%) . We have not observed any poor result. While we obtained 25 excellent (78,13%), 5 good (15,62%), and 2 fair (6, 25%) results in closed fractures, we obtained 15 excellent (48,38 %), 11 good (35,48 %) and 5 fair (16,12 %) results in open fractures.
Anahtar Kelimeler
Öz
Kliniğimizde Mart 1993-Mayıs 1997 tarihleri arasında tibia kırığı tanısı konan 63 hastaya modüller ka-nal oyulmadan intramedüller çivi uygulandı. Bu hastalar için ortalama takip süremiz 16,7 aydı. Hastaların ortalama yaşı 33,9 olarak bulundu. % 87,30 olguda neden trafik kazasıydı. Bu kırıkların 32'si kapalı 31'i açık kırıktı (11 olgu Gustilo Anderson Tip l, 13 olgu Tip 2 ve 7 olgu Tip 3). 52 hastaya (% 82,53) kapalı, 11 hastaya (% 77, 47) ise değişik nedenlere bağlı olarak açık çivileme uygulandı. 53 başlaya konvansiyonel çi-vi, 6 olguya dinamik, 4 olguya da statik kilitli intramedüller çivi uygulandı. Klinik iyileşme ortalama 14 haftada, radyolojik iyileşme ise 17 haftada gerçekleşti. Sadece 2 hastada 1 cm üzerinde kısalık oluştu. 2 ol-guda mediolateral plandaki angulasyon, 1 olguda da anteroposterior plandaki angulasyon 50'nin üzerindeydi. 2 olguda kaynama gecikmesi saptandı. Hiçbir olguda rotasyonel deformite, nörovasküler bozukluk, kaynama yokluğu ve osteomyelit gözlenmedi. Johner ve Wruhs değerlendirme kriterlerine göre 38 olguda (% 60, 31) mükemmel, 18 olguda (% 28, 57) iyi, 7 olguda da (% 11,11) orta sonuç almış oldugumuzu ve hiç kötü sonuç alınmadığını tespit ettik. Kapalı kırıklarda, 32 hastada 25 mükemmel (% 78, 13), 5 iyi (% 15, 62), 2 orta (% 6, 25) sonuç ve açık kırıklarda 31 hastada 15 mükemmel (%48, 38), 11 iyi (%35, 48), 5 orta (% 16, 12) sonuç elde edilmiştir.
Anahtar Kelimeler
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Orijinal Makale |
| Yazarlar | |
| Yayımlanma Tarihi | 11 Eylül 2006 |
| Yayımlandığı Sayı | Yıl 1998 Cilt: 32 Sayı: 2 |