Dengesiz Distal Radius Kiriklarinin Volar Plaklama İle Tedavisi Sonrasinda Kötü Sonuçlarin Belirteçleri; Retrospektif Klinik Analiz

Yıl 2019, , 168 - 172, 23.08.2019

Alper Öztürk , Yenel Gürkan Bilgetekin , Mehmet Faruk Çatma , Mutlu Akdoğan , Halis Atıl Atilla , Önder Ersan

https://doi.org/10.30565/medalanya.547982

Öz

Amaç: Bu çalışmada dengesiz radius distal uç kırıklarının volar kilitli plak ile tedavisi sonrası işlevsel ve radyolojik sonuçları, komplikasyonları değerlendirerek, kötü sonuçların belirteçlerini ortaya çıkarmayı amaçladık. 

Hastalar ve Yöntem: Mayıs 2006 ile Ağustos 2016 arasında distal radius kırığı nedeniyle volar kilitli plak uygulanmış 91 hasta (55 erkek / 36 kadın) geriye dönük çalışmamıza dâhil edildi. Tüm kırıklar AO sınıflama sistemiyle sınıflandırıldı. Mayo el bilek ve hızlı DASH-T skorları ile fonksiyonel sonuçlar, Steawart skorları ile de radyolojik sonuçlar değerlendirildi. Kötü radyolojik ve fonksiyonel sonuçların belirtecek çeşitli faktörler değerlendirildi. 

Sonuçlar: Hastaların yaş ortalaması 46,9 yıl (23-72 min-maks) ve ortalama takip süresi 29,6 ay (12-39 min-maks) idi. Ortalama kırık kaynama süresi 7,3 hafta (6-11 min-maks) idi. Hastaların son kontrollerinde ortalama hızlı DASH-T skoru 7.1 (0-65.9) ve Mayo el bilek skoru 85.8 (55-100) idi. 10 hastada takipte çeşitli komplikasyonlar görülmüştü; 8 hastada yara yeri enfeksiyonu, 2 hastada hipertrofik skar görüldü. Kötü sonuçların en güçlü belirteçlerinin kırığın tipi ve yara komplikasyonları olduğu tespit edildi. 

Sonuç: Volar kilitli plaklar dengesiz distal radius kırıklarının tedavisinde kabul edilebilir komplikasyon oranı ile tedavide tercih edilebilir. Yara yeri komplikasyonlarından kaçınmak için her türlü özen gösterilmelidir. 

Anahtar Kelimeler

distal radius kırığı, volar kilitli plak, komplikasyonlar, fonksiyonel sonuçlar

Predictives of Poor Outcomes after Volar Plating an Unstable Distal Radius Fracture; A Retrospective Clinical Analysis

Öz

Aim: We aimed to evaluate the functional and radiological outcomes and complications after an unstable distal radius fracture that was treated with a volar locked plate in adults and to find out the predictive factors of poor outcomes. 

Patients and Method: 91 patients (55 male / 36 female) that were operated for distal radius fractures with a volar locked plate between May 2006 and August 2016 were included in this retrospective study. All fractures were classified by AO classification system. Mayo Wrist score and Quick DASH-T measure were used to quantify the functional and Steawart scores for radiological outcomes. Varying factors were evaluated for predicting the poor radiological and functional outcomes. 

Results: Mean age of the patients was 46.9 years (23-72 min-max) and mean follow-up was 29.6 months (12-39 min-max) in this study. Mean union time was 7.3 weeks (6-11 min-max) for all patients. Mean Quick DASH-T score was 7.1 (0-65.9) and mean Mayo Wrist score was 85.8 (55-100) at the follow-up. There were 10 patients with various complications as; 8 patients had wound infections and 2 patients had hypertrophic scars. The strongest predictive factors of poor outcomes were the type of fracture and wound complications. 

Conclusion: Volar locked plates are useful for treatment of displaced unstable distal radius fractures with acceptable complication rate and any attempt should be considered to avoid wound complications. 

Anahtar Kelimeler

distal radius fracture, volar locked plate, complications, functional outcomes

Kaynakça

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