Eksternal Fiksasyon Pediatrik Femur Kırıklarında Etkili Bir Tedavi Metodu mudur?

Yıl 2015, Cilt: 12 Sayı: 1, 16 - 22, 15.04.2015

Mustafa Isik , Burcin Karsli , Vahap Saricicek Fethi Bilgin Abbas Kaya

Öz

Amaç: Pediatrik femur kırıkları acil servislerde karşılaşılan kırıkların önemli bir bölümünü oluşturmaktadır.
Tedavi seçenekleri arasında konservatif yöntemler ve cerrahi yöntemler bulunmaktadır. Açılanma,
malrotasyon ve kısalık gibi farklı sorunlar her iki tedavi yönteminde de görülebilir.
Metot: Bu çalışmada son beş yıl içinde eksternal fiksasyonla tedavi edilen 22 pediatrik femur kırıklı hasta
retrospektif olarak değerlendirilip, eksternal fiksatör tedavisinin avantajları ve dezavantajları incelenmiştir.
Bulgular: Çalışmada elde edilen sonuçlar tatmin edici idi. Eksternal fiksatör uygulaması kolay ve hızlı bir
yöntemdir.
Sonuç: Bazı dezavantajlarına rağmen, hastanede kalış süresinin kısa olması, erken mobilizasyon, aile
bakımı, çocuk ve aile uyumu, kısa sürede okula geri dönebilme ve maliyet etkin bir yöntem olması gibi
nedenlerle çocuk femur kırıklarında ilk planda uygulanabilir bir tedavi yöntemi olabilir. 

Anahtar Kelimeler

Eksternal Fiksasyon, Femur, Kapalı Kırıklar, Çocuk

Is External Fixation Effective in Pediatric Femur Fractures?

Öz

Backgrounds: Pediatric femur fractures comprise a major portion of fractures that are repaired in emergency
rooms. Treatment options include conservative methods, and surgical methods. Different problems such as
angulation, malrotation and shortening may be observed both treatment methods.
Methods: In this study twenty-two pediatric femoral fractures which treated with external fixators in past
five years were evaluated retrospectively. Advantages, and disadvantages of external fixation were
investigated.
Results: Results were satisfactory. In conclusion, external fixator application is an easy to perform and quick
method.
Conclusions: Despite some disadvantages, it may be one of the treatment methods that should be considered
in the first plan in pediatric femoral fractures due to reasons such as short length of hospital stay, early
mobilization, ease of family care, rapid child and family compliance, early return to school, and reduced
treatment costs. 

Anahtar Kelimeler

External Fixation, Femur, Closed Fractures, Child

Kaynakça

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