Kalkaneus Kırıklarında İki Farklı Cerrahinin Ayak Fonksiyonu, Ağrı, Denge ve Yürüyüş Özelliklerine Etkisi

Abstract

Amaç: Çalışmamızın amacı, kalkaneus intra-artiküler kırıklarında cerrahi tedavi yöntemlerinden olan açık redüksiyon-internal fiksasyon ve kapalı redüksiyon-internal fiksasyon yöntemlerini ayak fonksiyonu, ağrı, denge ve yürüyüş özellikleri açısından karşılaştırmaktı. Materyal ve metod: Çalışma kapsamında intra-artiküler kalkaneus kırığı sonrasında cerrahi tedavi yapılan 20 hasta değerlendirildi. Bireyler geçirdikleri cerrahi tipine göre açık redüksiyon-internal fiksasyon (n=9) ve kapalı redüksiyon-internal fiksasyon (n=11) gruplarına ayrıldı. Ayak bileği aktif ve pasif dorsifleksiyon eklem hareket açıklıkları, plantar fleksör ve hamstring kas kısalıkları ölçüldü. Ağrı değerlendirmesinde Görsel Analog Skalası Ayak-Ayak Bileği (VAS-FA) formu kullanıldı. Ayak fonksiyonu, Amerikan Ortopedik Ayak-Ayak Bileği Derneği (AOFAS) Ayak Bileği-Arka Ayak Skalası ile değerlendirildi. Denge değerlendirmesinde postüral salınım, stabilite skor ve sınırları değerlendirilirken, yürüyüşün zaman mesafe karakteristikleri incelendi. Bulgular: Gruplar, demografik ve antropometrik parametreler açısından birbirine benzer özellikler göstermekteydi (p> 0,05). Aktif ve pasif dorsifleksiyon eklem hareket açıklıkları, plantar fleksör ve hamstring kas kısalıkları, VAS-FA ve AOFAS Ayak Bileği-Arka Ayak Skalası parametreleri açısından fark yoktu (p> 0,05). Postüral salınım, stabilite sınırı ve skorları ile yürüyüşün zaman ve mesafe karakteristikleri arasında anlamlı fark bulunmadı (p> 0,05). Sonuç: Kalkaneus intra-artiküler kırıklarının cerrahi tedavilerinden açık redüksiyon-internal fiksasyon ve kapalı redüksiyon-internal fiksasyon arasında ayak fonksiyonu, ağrı, denge ve yürüyüş parametreleri açısından fark olmaması nedeniyle komplikasyon riski daha az olan kapalı redüksiyonun tercih edilmesi önerilmektedir.

Keywords

• Ağrı
• denge
• kalkaneus
• kırık
• yürüyüş

The Effect of Two Different Surgery on Foot Function, Pain, Balance and Gait Characteristics in Calcaneus Fractures

Abstract

Objective: The aim of our study was to compare the surgical techniques which are open reduction-internal fixation and closed reduction-internal fixation in intra-articular calcaneus fractures in aspects of foot function, balance and gait. Materials and methods: In the study, 20 patients underwent surgical treatment after intra- in intra-articular calcaneus fracture were evaluated.Individuals were divided into open reduction-internal fixation (n=9) and closed reduction-internal fixation (n=11) groups according to the type of surgery they underwent. Active and passive ankle dorsiflexion range of motion, plantar flexor and hamstring muscles tightness were measured. Visual Analogue Scale Foot-Ankle (VAS-FA) form was used for pain assessment. Foot function was assessed using the American Orthopaedic Foot& Ankle Society (AOFAS) Ankle-Hindfoot Scale. In the evaluation of balance, postural sway, stability score and limits were evaluated, while the time-distance characteristics of gait were examined. Results: The groups showed similar characteristics in terms of demographic and anthropometric parameters (p> 0.05). There was no difference in terms of active and passive dorsiflexion joint ranges of motion, plantar flexor and hamstring muscle shortness, VAS-FA and AOFAS Ankle-Hindfoot Scale parameters (p > 0.05). There was no significant difference between postural sway, stability limit and scores, and time and distance characteristics of gait (p> 0.05). Conclusions: Since there is no difference between open reduction-internal fixation and closed reduction-internal fixation, among the surgical treatments of calcaneus intra-articular fractures, in terms of foot function, pain, balance and gait parameters, it is recommended to prefer closed reduction with less complication risk.

Keywords

• Balance
• calcaneus
• fracture
• gait
• pain

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