Asetabulum Arka Duvar Ve Arka Kolon Kırıklarında Kalkaneus Plağı Kullanımı, Teknik Özellikler ve Ameliyat Sonuçları

Öz

Öz Amaç: Bu çalışmada asetabular arka duvar ve arka kolon kırıklarının tespitinde kalkaneus plaklarının kullanımının etkinliği değerlendirildi. Yöntemler: Kalkaneus plağı kullanılarak asetabulum arka duvar kırığı tespiti yapılan 28 hasta retrospektif olarak değerlendirildi. Kliniğimizde 2020-2023 yılları arasında 28 asetabulum arka duvar kırığı tedavi edildi. Cerrahi teknik, ameliyat sonrası sonuçlar, komplikasyonlar, hasta demografisi, kırık paternleri ve ameliyat öncesi durumlar değerlendirildi. Bulgular: Hastaların yaş ortalaması 33,04 (19-49) olup, bunların 20'si erkek, 8'i kadındı. Hastaların 17'sinde (%60,7) sağ asetabulum kırığı ve 11'inde (%39,3) sol asetabulum kırığı tespit edildi. Ortalama takip süresi 22 aydı. 28 hastanın 22'si (%78,6) travmadan önce çalıştığı işe dönmüştür. İşe dönüş süresi ortalama 6,3 aydır (2-14 ay). Enfeksiyon, dislokasyon ve çıkık gibi komplikasyonlar heterotopik ossifikasyon kaydedildi. Brooker sınıflandırmasına göre 4 hastada heterotopik ossifikasyon vardı. Sonuçlar: Kalkaneus plakları asetabulum arka duvar ve kolon kırıklarının tespitinde iyi sonuçlar göstermektedir. Avantajları, geleneksel tespit yöntemlerinin yerine uygulanabilir olma potansiyellerini göstermektedir. Bu bulguları doğrulamak için daha çok sayıda hasta ve daha uzun takip süreleri ile çalışma yapılması önerilmektedir. Anahtar Kelimeler: Asetabulum kırığı, kalkaneus plağı, cerrahi tedavi, arka duvar

Anahtar Kelimeler

• Asetabulum kırığı
• kalkaneus plağı
• cerrahi tedavi
• arka duvar

İngilizce

Öz

Abstract Objective: This study aims to evaluate the effectiveness of using calcaneus plates in the fixation of acetabular back wall and back column fractures. Methods: A retrospective analysis was conducted on patients who underwent acetabular posterior wall fracture operation using calcaneus plates. Between 2020-2023, we have treated 28 acetabular posterior wall fractures in our clinic.The primary focus was on the surgical technique, postoperative results,complications,patient demographics, fracture patterns, and preoperative conditions were documented. Results:The mean age of the patients was 33.04 (19-49), of which 20 were male and 8 were female. 17 (60.7%) patients had right acetabular fractures and 11 (39.3%) had left acetabular fractures. The mean follow-up period was 22 months.22 (78.6%) of 28 patients who worked before the trauma, returned to work. The mean time to return to work was 6.3 months (2-14 months). Complications such as infection, dislocation and heterotopic ossification were recorded. According to the Brooker classification 4 patients had heterotopic ossification. Conclusion: Calcaneus plates show good results in the fixation of acetabular posterior wall and column fractures. Their advantages indicate their potential to replace conventional fixation methods. Studies with a larger number of patients and longer follow-up periods are recommended to confirm these findings. Key words: Acetabular fracture, calcaneus plates, surgical treatment, posterior wall

Anahtar Kelimeler

• Acetabular fracture
• calcaneus plates
• surgical treatment
• posterior wall

Kaynakça

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