sdü tıp fak derg

Medical Journal of Süleyman Demirel University

2602-2109

Süleyman Demirel Üniversitesi

10.17343/sdutfd.654398

Surgery

Cerrahi

Asetabulum Kırıkları Cerrahi Tedavisinde Posterior Yaklaşım: Klinik ve Radyolojik Sonuçlar

https://orcid.org/0000-0002-5114-4691

Topal

Murat

Kastamonu Üniversitesi Tıp Fakültesi Aydın

Ali

ATATÜRK ÜNİVERSİTESİ

https://orcid.org/0000-0002-8333-6137

Paksoy

Ahmet Emre

YOZGAT BOZOK ÜNİVERSİTESİ

https://orcid.org/0000-0003-2702-0266

Zencirli

Kemal

ATATÜRK ÜNİVERSİTESİ, TIP FAKÜLTESİ, TIP PR. Köse

Ahmet

SAĞLIK BİLİMLERİ ÜNİVERSİTESİ, ERZURUM BÖLGE SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ Yıldız

Vahit

ADNAN MENDERES UNIVERSITY Dinçer

Recep

SüLEYMAN DEMİREL üNİVERSİTESİ TIP FAKÜLTESİ

09 01 2020

27 3 375 381 12 03 2019 03 02 2020

1994

Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi

Giriş ve Amaç: Asetabulum kırıkları sık rastlanmayan, kompleks yaralanmalardır. Bu çalışmada posterior yaklaşımlarla opere ettiğimiz asetabulum kırıklı hastaların radyolojik ve fonksiyonel sonuçlarını değerlendirmeyi amaçladık.Yöntem: 2011 ile 2014 yılları arasında asetabulum kırığı nedeniyle opere edilen, en az 1 yıllık takipleri yapılabilmiş olan 36 olgu bu çalışmaya dahil edilmiştir. Retrospektif olarak planlanan çalışmamızda kırık sınflandırması Letournel Judet sistemine göre, radyolojik değerlendirme Matta kriterlerine göre, fonksiyonel skorlar modifiye Merle d’Aubigne Postel sistemine göre yapıldı.Bulgular: Toplam 36 olgunun 25’i sadece posterior yaklaşımla opere edilmişken 11’inde kombine anterior ve posterior yaklaşım uygulanmıştır. Komplikasyon oranları güncel literatürle uyumlu bulunmuştur. Fonksiyonel skorlar değerlendirildiğinde 29 (%80,6) olguda mükemmel ve iyi sonuç, 3 (%8,3) olguda orta, 4 (%11,1) olguda kötü sonuç elde edilmiş, radyolojik sonuçlar değerlendirildiğinde 29 (%80,6) olguda mükemmel ve iyi sonuç, 3 (%8,3) olguda orta, 4 (%11,1) olguda kötü sonuç elde edilmiştir.Sonuç ve Çıkarımlar: Asetabulum kırıkları cerrahisi, teknik olarak zor, komplikasyon oranları yüksek olmasına rağmen deplase asetabulum kırıklarında açık redüksiyon ve internal fiksasyon endike olduğu durumlarda altın standart tedavi yöntemidir. Olgu sayısı kısıtlı olan 36 olguluk serimizde radyolojik ve fonksiyonel sonuçlarımızın güncel literatürle uyumlu olduğunu gördük.

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