Distal tibia kırıklarında yeni dizayn edilmiş intramedüller çivi ve distal kilit sistemi ile tedavinin klinik ve radyolojik sonuçları

Öz

Amaç : Bu çalışmanın amacı distal tibia kırıklarında yeni dizayn edilmiş intramedüller çivi ve distal kilit sistemi ile tedavinin klinik ve radyolojik sonuçlarını değerlendirmektir.

Materyal Metod: Nisan 2011 ile Haziran 2017 tarihleri arasında distal tibia  kırığı nedeniyle distal rijit kilitleme sistemli intramedüller çivi ile tedavi edilen 22 hasta retrospektif olarak değerlendirdi. Hastaların 17 (%77,2)’si erkek 5(%22.7)’ i kadındı. Kırıkların 16(%72.7)’sı açık 6 (%27.2)’sı kapalı kırıktı. Açık kırıklarda yaygın olarak kabul gören Gustillo-Anderson sınıflaması kullanıldı. 2 hasta Tip I, 12 hasta tip II, 2 hasta tip IIIA açık kırıktı. Kırık tiplerini belirlemek için OTA/AO  sınıflama sistemi kullanıldı. Hastaların fonksiyonel sonuçları AOFAS skorlama sistemi kullanılarak değerlendirildi.

Bulgular: Hastaların ortalama kaynama süresi 25.3 hafta (16-36 hafta)’idi. Ortalama tam yük verme süresi 9 hafta (6-16 hafta) idi. Tüm hastalarımızda tam kaynama elde edildi. Hastaların ortalama yaşı 32.5 (18-74)’idi. Hastaların 3 (%13.6)’ üne cilt problemleri nedeniyle ilk olarak eksternal fiksatör uygulandı. Tip II açık kırıklı bir (%5) hastamızda yüzeyel enfeksiyon gelişti.  3 (%15) hastamızda AP planda 5 dereceden fazla açılanma görüldü. Hastaların ortalama AOFAS skoru 92.25 (63-100) idi.

Sonuç: Distal tibia kırıklarında yeni dizayn edilmiş bu çivi ve kilitleme sistemi yüksek kaynama oranı, düşük floroskopi ihtiyacı gibi avantajları dolayısıyla güvenle uygulanabilir.

Anahtar Kelimeler

• Distal,Tibia,İntramedüller,Kırık

Kaynakça

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