Pediatric Hardware Removal Complications; Are They Really Easy Surgeries?

Yıl 2025, Cilt: 14 Sayı: 1, 199 - 203, 28.03.2025

Ortaç Güran

Öz

Objective: The aim of this study was to investigate the complications and challenges encountered in pediatric implant removal cases. Materials and Methods: This retrospective study was conducted in Sancaktepe Şehit Prof. Dr. İlhan Varank Research and Training Hospital and data was collected from patients’ charts, operating room registrations, and operation notes, who underwent hardware removal surgery between January 2024 and October 2024. The normality of the data was assessed with the Q-Q plot test. The Student's t-test was used to compare two independent groups with normal distribution, whereas the Kruskal-Wallis test was used for non-normally distributed data. Results: Forty-two cases of pediatric implant removal patients were included in the study and significant correlation was found between the duration of surgery and the type of implant removed (p=0.006). After the removal of implants, the following complications were observed: superficial infection occurred in 3 patients (7%), deep tissue infection in 2 patients (5%), failure to remove the implant in 2 cases (5%), refracture in 1 patient (2%), and extensor tendon injury in 1 patient (2%). Conclusion: To minimize the risk of complications during implant removal, it is recommended to choose the correct and high-quality implant, apply appropriate surgical techniques, and plan the removal surgery while performing fracture fixation, adjusting the treatment accordingly.

Anahtar Kelimeler

Hardware Removal, Complication, Pediatric Implant

Pediatrik İmplant Çıkarım Komplikasyonları; Gerçekten Kolay Ameliyatlar mı?

Öz

Amaç: Bu çalışmanın amacı, pediatrik implant çıkarma vakalarında karşılaşılan komplikasyonları ve nedenlerini ortaya koymaktır. Gereç ve Yöntem: Bu retrospektif çalışma Sancaktepe Şehit Prof. Dr. İlhan Varank Eğitim ve Araştırma Hastanesi'nde gerçekleştirilmiş ve veriler Ocak 2024 ile Ekim 2024 tarihleri arasında pediatrik implant çıkarım ameliyatı geçiren hastaların dosyalarından, ameliyathane kayıtlarından ve ameliyat notlarından elde edilmiştir. Verilerin normalliği Q-Q plot testi ile değerlendirilmiştir. Student's t-testi ile normal dağılıma sahip iki bağımsız grubu karşılaştırırken, normal dağılıma sahip olmayan veriler için Kruskal-Wallis testi kullanılmıştır. Bulgular: Kırk iki pediatrik implant çıkarım hastası çalışmaya dahil edilmiş ve ameliyat süresi ile çıkarılan implant tipi arasında anlamlı korelasyon bulunmuştur (p = 0.006). İmplantların çıkarılmasından sonra 3 hastada (%7) yüzeyel enfeksiyon, 2 hastada (%5) derin doku enfeksiyonu, 2 vakada (%5) implantın çıkarılamaması, 1 hastada (%2) refraktür ve 1 hastada (%2) ekstansör tendon yaralanması gibi komplikasyonlar gözlendi. Sonuç: İmplant çıkarılması sırasında komplikasyon riskini en aza indirmek için, doğru ve yüksek kaliteli implantın seçilmesi, uygun cerrahi tekniklerin uygulanması ve kırık fiksasyonu yapılırken çıkarma ameliyatının planlanması, tedavinin buna göre ayarlanması önerilir.

Anahtar Kelimeler

Pediatrik İmplant, Komplikasyon, İmplant Çıkarımı

Kaynakça

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