Akut Aşil Tendon Kopmalarında Açık Onarım Sonrası Yara Yeri Komplikasyonları Öngörülebilir mi?

Öz

Amaç: Akut aşil tendon rüptürlerinin açık onarımı sonrasında ortaya çıkan yara yeri komplikasyonları ile hastaya bağlı faktörler arasındaki ilişkiyi incelemek. Yöntemler: 2019-2024 yılları arasında tek bir ortopedi ve travmatoloji ekibi tarafından açık cerrahi uygulanan 39 hastada yaş, cinsiyet, yaralanma mekanizması, kopmadan cerrahiye kadar geçen süre ve ameliyat sonrası komplikasyonlar analiz edildi. Sonuçlar: Tendon kopmasından sonra cerrahi müdahaleye kadar geçen süre arttıkça, yara yeri komplikasyonlarına daha sık rastlandı (p<0,001) Hasta bazlı parametreler ile yara yeri komplikasyonları arasında başka anlamlı bir ilişki yoktu (her biri için p>0,05). Sonuç: Açık aşil tendon rüptüründen sonra yara yeri komplikasyonlarını öngörmede en etkili parametre yaralanma ile ameliyat arasında geçen süredir; yaş, cinsiyet ve yaralanma mekanizmaları gibi faktörler ise bu tür vakalarda yara yeri komplikasyonlarını öngörmede yetersiz kalabilir. Aşil tendon rüptürü tedavilerinin yaygın bir komplikasyonu olan yara yeri sorunları riskini en aza indirmek için hastalar mümkün olan en kısa sürede ameliyat edilmelidir.

Anahtar Kelimeler

• Aşil tendonu
• Aşil tendon rüptürü
• yara yeri komplikasyonu
• açık onarım
• ameliyat öncesi süre

Can Wound-Site Complications Be Predicted after Open Repair in Acute Achilles Tendon Ruptures?

Öz

Background/Aims: To examine the correlation between wound-site complications that arise following open repair of acute achilles tendon ruptures and patient-related factors. Methods: Age, gender, mechanism of injury, time from rupture to surgery, and postoperative complications were analyzed in 39 patients who underwent open surgery by a single orthopedic and traumatology team between 2019 and 2024. Results: As the time until surgical intervention increased after tendon rupture, wound-site complications were encountered more frequently (p<0.001) There was no other significant relationship between patient-based parameters and wound-site complications (p>0.05 for each). Conclusions: The most effective parameter in predicting wound-site complications after open rupture of the AT rupture is the elapsed time between injury and surgery, whereas factors such as age, gender and injury mechanisms are not able to predict wound-site complications in such cases. Patients should be operated on as soon as possible to minimize the risk of wound site problems, which is a common complication of Achilles tendon rupture treatments.

Anahtar Kelimeler

• Achilles tendon
• achilles tendon rupture
• wound-site problem
• open repair
• length of stay before surgery

Kaynakça

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