Çocuk tibia diafiz kırılarının tedavisinde titanyum elastik çivi ve Kirschner telinin klinik ve radyolojik sonuçlarının karşılaştırılması

Year 2021, Volume: 46 Issue: 1, 216 - 222, 31.03.2021

Güray Altun , Tuhan Kurtulmuş , Birkan Kibar , Çağrı Özcan

Abstract

Amaç: Bu çalışmada, Kirschner Teli (K-teli) ve Titanyum Esnek Çivi (TEÇ) ile intramedüller tespit uygulanan çocuk tibia kırıklarının klinik ve radyolojik sonuçlarının karşılaştırmasını yapmayı amaçladık.
Gereç ve Yöntem: Otuzdokuz hasta retrospektif olarak değerlendirildi ve tüm hastalar TEÇ uygulanan 20 hasta grup 1 ve K-teli uygulanan 19 hasta grup 2 olarak iki gruba ayrıldı. En az bir yıllık takip sonrası hastalar radyolojik ölçümleri ve Flynn Ten skorlamasına göre karşılaştırıldı.
Bulgular: Flynn skorlamasına göre, grup 1’de % 75 mükemmel ve % 25 iyi sonuç, grup 2’de % 70 mükemmel ve % 30 iyi sonuç tespit edildi. Hiçbir vakada erken fiz kapanması, tekrar kırık, tekrar cerrahi girişim veya tespit materyali yetmezliği saptanmadı. Dizilim bozukluğu grup 1’de dört hastada ve grup 2’de iki hastada 10 derecenin üzerinde olmamak suretiyle tespit edildi.
Sonuç: Her iki grubun klinik ve radyolojik sonuçları benzerlik göstermiş olsa da, pediatrik tibia şaft kırıklarında K-teli ile fiksasyonun daha düşük bütçeli ve elde edilebilirliğinin daha kolay olması sebebiyle TEÇ’ye göre avantajlı olabilir.

Keywords

çocuk tibia kırıkları, titanyum esnek çivi, kirschner teli

Comparison of clinical and radiological outcomes of titanium elastic nail and Kirschner wire in the treatment of pediatric tibia diaphyseal fractures

Abstract

Purpose: The aim of this study was to compare the clinical and radiological results of paediatric tibia shaft fractures treated by intramedullary fixation with Kirschner (K) wire and titanium elastic nail (TEN).
Materials and Methods: Thirtynine patients were evaluated retrospectively. Included 20 patients treated with TEN (group 1) and 19 patients treated with K-wire (group 2). At the end of the 1-year follow-up, radiological measurements for malalignment and the Flynn TEN outcome scoring system were used to compare the clinical results.
Results: According to the Flynn classification, in group 1, results were excellent in 75% and good in 25%, and in group 2, excellent in 70% and good in 30%. In any cases has not been experienced physeal early closure or refracture, nor did they need re-manipulation or re-operation, and no implant insufficiency was detected. Malalignment was found in four patients in group 1, and in two patients in group 2 of lesser than 10 degrees.
Conclusions: Even though two methods showed similar clinical and radiological results, fixation paediatric tibial fractures with K-wire may have some advantages as lower-cost and easy accessibility according to TEN.

Keywords

pediatric tibia fracture, titanium elastic nail, kirschner wire

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