Radius alt uç eklem içi kırıklarda volar titanyum kilitli plak uygulamalarının erken ve orta dönem etkinliği

Yıl 2019, Cilt: 3 Sayı: 1, 33 - 39, 25.04.2019

Bangin Bekir Candan Yavuz Akalın , Nazan Çevik , Alpaslan Öztürk , Yüksel Özkan

https://doi.org/10.30565/medalanya.479342

Cited By: 1

Öz

Amaç: Erişkin distal radius kırıklarında titanyum volar kilitli plak uygulanan olgularımıza ait fonksiyonel ve radyolojik sonuçların erken ve orta dönem analizinin yapılarak etkinliğinin ortaya konulmasıdır. 

Hastalar ve Yöntemler: Distal Radius kırığı nedeniyle volar kilitli plak uygulanan 64 hasta (67 kırık ekstremite) retrospektif olarak incelendi. 36 kadın, 31 erkek, yaş ortalaması 53.31(18-75) idi. Frkyman sınıflamasına göre ve AO sınıflamasına göre sınıflandırıldı. Modifiye Gartlant Werley Skoru, Disabilities of the Arm, Shoulder and Hand (DASH) scoru, Modifiye Stewart skorlama sistemine göre değerlendirildi. 

Bulgular: Modifiye Gartland-Werley Skoruna göre 35(%52.2)’i mükemmel, 27(%39.7)’si iyi, 4(%5.9)’u orta ve 1’i kötü (%1.5) olarak değerlendirildi. DASH skoru ortalama değeri 9,5±8.8(0-35). Palmar eğim ameliyat öncesi -5.58±14.9 [(-50)-(30)], ameliyat sonrası 3.65±10.88[(-30)-(+45)] olarak değerlendirildi. İstatistiksel olarak radial yükseklik, radial inklinasyon ve palmar eğimin anlamlı düzeyde düzeldiği görüldü(p=0.001). Stewart radyolojik skoru değerlendirildiğinde 37(%54.4)’si mükemmel, 26(%38.8)’i iyi, 4(%5.9)’ü orta olarak değerlendirildi. 

Sonuç: Erişkin distal radius kırıklarında iyi sonuçların elde edilebilmesi kırığın iyi değerlendirilmesi, uygun tedavi şeklinin seçilmesi, uygun cerrahi tekniğin kullanılması, Anatominin iyi oluşturulması ve sağlam fiksasyon ile mümkün olabilir. Titanyum voler kilitli plak ile kırık tesbiti etkili bir tedavi yöntemi olup erken harekete izin vererek iyileşmeyi hızlandırdığı ve sonuça olumlu katkı sağlamaktadır. 

Anahtar Kelimeler

Distal, radius, volar, yetişkin, volar, osteosentez

Early and mid-term efficacy of volar titanium lock plate applications in radial distal intraarticular fractures

Öz

 Aim: The aim of the study is to determine the efficacy of the functional and radiological results of the pa-tients who underwent titanium volar locking plaque in adult distal radius fractures with early and mid-term analysis. 

Patients and methods: 64 patients (67 fractured limbs) who underwent volar locking plate due to distal radius fracture were retrospectively analyzed. The mean age was 53.31 (18-75). They were classified according to the Frkyman classification and AO classification. The modified Gartlant Werley Score, Disability of the Arm, and Hand (DASH) score were evaluated according to Modified Stewart scoring system. 

Results: According to Modified Gartland-Werley Score, 35 (52.2%) were evaluated as excellent, 27 (39.7%) as good, 4 (5.9%) as moderate and 1 (1.5%) as poor. The mean value of DASH score was 9.5 ± 8.8 (0-35). Palmar slope preoperatively was -5.58 ± 14.9 [(-50) - (30)], postoperatively 3.65 ± 10.88 [(- 30) - (+ 45)]. Radial height, radial inclination and palmar slope were significantly improved (p = 0.001). When Stewart radiological score was evaluated, 37 (54.4%) were excellent, 26 (38.8%) were as good and 4 (5.9%) as moderate. 

Conclusion: It is possible to obtain good results in adult distal radius fractures with good evaluation of the fracture, choosing the appropriate treatment method, using the appropriate surgical technique, good anatomy and robust fixation. Detection of fracture with titanium voler plate is an effective treatment method, allowing early movement to accelerate healing and contribute positively to the result. 

Anahtar Kelimeler

Distal, radius, adult, volar, locked plate, osteosynthesis

Kaynakça

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